Most Relevant Information
Provider Data
| NPI Number: | 1003350463 |
| Provider Name: | RYAN FOURNIER BCBA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/05/2016 |
| Last Updated: | 12/26/2018 |
Provider Practice Location
300 SAINT ANDREWS RD
SAGINAW
MI
486385977
Practice Location Phone/Fax
| Phone: | 2693124586 |
| Fax: |
Provider Mailing Location
PO BOX 663
LAKELAND
MI
481430663
Provider Mailing Phone/Fax
| Phone: | 8105592129 |
| Fax: |