Abigail Rose Ryan

NPI #1770220535 in Jackson, Wyoming

Provider Information

NPI Number: 1770220535
Entity Type: Individual
Name: Abigail Rose Ryan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: May 13, 2022
Last Updated: May 13, 2022

Practice Location

Address: 310 E BROADWAY AVE
City: Jackson
State: Wyoming
ZIP Code: 83001-8636
Phone: (307) 257-5487

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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