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NPI Code Detail

MEDICARE: RYAN E DENNEY M.S., BCBA

MEDICARE: RYAN E DENNEY M.S., BCBA
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1013140193
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN E DENNEY M.S., BCBA
Provider Business Mailing Address
First Line : 4330 PRAIRIE FOX LN
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80925-8504
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2790 JANITELL RD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80906-4103
Country : US
Telephone Number : 719-579-6440
Fax Number : 913-825-0896
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2009
Last Update Date : 02/16/2011

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