Most Relevant Information
Provider Data
| NPI Number: | 1003424557 |
| Provider Name: | RYAN JACOB BARROSO M.S., BCBA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/21/2020 |
| Last Updated: | 11/09/2022 |
Provider Practice Location
1200 CONCORD AVE STE 100
CONCORD
CA
945204969
Practice Location Phone/Fax
| Phone: | 5102688120 |
| Fax: |
Provider Mailing Location
270 MIKE LOZA DR UNIT 207
CAMARILLO
CA
930128453
Provider Mailing Phone/Fax
| Phone: | 8054070205 |
| Fax: |