| NPI | 1639316466 |
|---|---|
| Professional Name | RYAN BLACK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2018-03-17 |