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NPI Code Detail

MEDICARE: JAYNA RYAN

MEDICARE:   JAYNA  RYAN
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 Analyst353992CO

General Provider Information

NPI Number : 1083166706
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAYNA RYAN
Provider Business Mailing Address
First Line : 3401 QUEBEC ST STE 3500
Second Line :
City : DENVER
State : CO
Zip : 80207-2339
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3401 QUEBEC ST STE 3500
Second Line :
City : DENVER
State : CO
Zip : 80207-2339
Country : US
Telephone Number : 720-706-3396
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2016
Last Update Date : 11/09/2023

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Directions to “ JAYNA RYAN ” Practice Location

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