MEDICARE: RYAN DOBSON

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
1	103K00000X	Behavior Analyst	RBT-23-308595

General Provider Information

NPI Number	:	1932034121
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RYAN DOBSON

Provider Business Mailing Address
First Line	:	1670 RIVERWATCH CT NW
Second Line	:
City	:	KENNESAW
State	:	GA
Zip	:	30152-7433
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1670 RIVERWATCH CT NW
Second Line	:
City	:	KENNESAW
State	:	GA
Zip	:	30152-7433
Country	:	US
Telephone Number	:	336-575-8894
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2026
Last Update Date	:	06/17/2026

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Directions to “ RYAN DOBSON ” Practice Location

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