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NPI Code Detail

MEDICARE: LIAM RYAN

MEDICARE: LIAM 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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1912724980
Entity Type Code : Individual
Provider Name (Legal Business Name) : LIAM RYAN
Provider Business Mailing Address
First Line : 2005 W 14TH ST STE 121
Second Line :
City : TEMPE
State : AZ
Zip : 85281-6917
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2005 W 14TH ST STE 121
Second Line :
City : TEMPE
State : AZ
Zip : 85281-6917
Country : US
Telephone Number : 480-863-0763
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2024
Last Update Date : 02/13/2026

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Directions to “ LIAM RYAN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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