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NPI Code Detail

MEDICARE: COURTNEY CHAPLIN RYAN

MEDICARE: COURTNEY CHAPLIN 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 Analyst

General Provider Information

NPI Number : 1629733886
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY CHAPLIN RYAN
Provider Business Mailing Address
First Line : PO BOX 1180
Second Line :
City : NAPLES
State : ME
Zip : 04055-1180
Country : US
Telephone Number : 224-226-2212
Fax Number :
Provider Business Practice Location Address
First Line : 4006 WASHINGTON RD
Second Line :
City : KENOSHA
State : WI
Zip : 53144-4819
Country : US
Telephone Number : 262-204-5697
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2021
Last Update Date : 11/03/2021

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Directions to “ COURTNEY CHAPLIN RYAN ” Practice Location

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