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NPI Code Detail

MEDICARE: RYAN CHRISTOPHER NEW AS

MEDICARE:   RYAN CHRISTOPHER NEW  AS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1134993009
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN CHRISTOPHER NEW AS
Provider Business Mailing Address
First Line : 1119 RICHTER RD # 77493
Second Line :
City : COLUMBUS
State : TX
Zip : 78934-3464
Country : US
Telephone Number : 713-560-4094
Fax Number :
Provider Business Practice Location Address
First Line : 2051 GREENHOUSE RD STE 160
Second Line :
City : HOUSTON
State : TX
Zip : 77084-8022
Country : US
Telephone Number : 844-272-7223
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2023
Last Update Date : 11/13/2023

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Directions to “ RYAN CHRISTOPHER NEW AS” Practice Location

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