Ryan Edgar

Behavior Analyst · Mishawaka, IN

Individual Active NPI

NPI number 1144951237

Practice location

1316 W Dragoon Trl
Mishawaka, IN 46544-4713
Phone
(574) 855-4292
Fax
(574) 635-3201

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NPI record

NPI
1144951237
Entity type
Individual (Type 1)
Enumeration date
June 21, 2022
Last updated
June 21, 2022
Certified
June 21, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 12259957 IN

About Ryan Edgar

Ryan Edgar is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 1316 W Dragoon Trl, Mishawaka, IN 46544-4713. The NPI number 1144951237 was assigned on June 21, 2022 and the record was last updated on June 21, 2022.

Ryan Edgar lists a license in the registry: #12259957 (IN) for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ryan Edgar?

The NPI number is 1144951237.

What is the phone number of Ryan Edgar?

The phone number listed for the practice location is (574) 855-4292.

Where is Ryan Edgar located?

1316 W Dragoon Trl, Mishawaka, IN 46544-4713.

What is the taxonomy code for Ryan Edgar?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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