Ryder Moira Nicholas

NPI #1265088686 in Lakeway, Texas

Provider Information

NPI Number: 1265088686
Entity Type: Individual
Name: Ryder Moira Nicholas
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 12, 2019
Last Updated: Aug 12, 2019

Practice Location

Address: 107 RR 620 S STE 300
City: Lakeway
State: Texas
ZIP Code: 78734-3900
Phone: (512) 717-4788

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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