Provider Demographics
NPI:1508427790
Name:CHRISTIAN, RYAN E (RBT)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:E
Last Name:CHRISTIAN
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1441 LAKECREST DR
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-6516
Mailing Address - Country:US
Mailing Address - Phone:407-575-4502
Mailing Address - Fax:
Practice Address - Street 1:1441 LAKECREST DR
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-6516
Practice Address - Country:US
Practice Address - Phone:407-575-4502
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-27
Last Update Date:2019-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst