Provider Demographics
NPI:1376965244
Name:RYAN BEHAVIORAL SOLUTIONS, PC
Entity Type:Organization
Organization Name:RYAN BEHAVIORAL SOLUTIONS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:RYAN
Authorized Official - Suffix:
Authorized Official - Credentials:APN-C
Authorized Official - Phone:609-410-7605
Mailing Address - Street 1:528 E 5TH ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:NJ
Mailing Address - Zip Code:08518-2604
Mailing Address - Country:US
Mailing Address - Phone:609-410-7605
Mailing Address - Fax:609-360-0252
Practice Address - Street 1:528 E 5TH ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:NJ
Practice Address - Zip Code:08518-2604
Practice Address - Country:US
Practice Address - Phone:609-410-7605
Practice Address - Fax:609-360-0252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-13
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SG0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGerontologyGroup - Single Specialty