Ryan David Black, BCBA
NPI #1639316466 in Jonesborough, Tennessee
Provider Information
- NPI Number
- 1639316466
- Entity Type
- Individual
- Name
- Ryan David Black, BCBA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Analyst
- Credential
- BCBA
- Enumeration Date
- Jan 15, 2009
- Last Updated
- Mar 17, 2018
Practice Location
- Address
- 249 OLIVER EDWARDS RD
- City
- Jonesborough
- State
- Tennessee
- ZIP Code
- 37659-6537
- Phone
- (423) 341-7104
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Behavior Analyst |
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