Most Relevant Information
Provider Data
| NPI Number: | 1003380700 |
| Provider Name: | REBECCA VANRYN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/15/2019 |
| Last Updated: | 01/15/2019 |
Provider Practice Location
1630 E SHAW AVE STE 190
FRESNO
CA
937108114
Practice Location Phone/Fax
| Phone: | 5594927900 |
| Fax: |
Provider Mailing Location
5132 N PALM AVE # 303
FRESNO
CA
937042236
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |