Most Relevant Information
Provider Data
| NPI Number: | 1003500257 |
| Provider Name: | RYAN BENNETT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/08/2023 |
| Last Updated: | 06/08/2023 |
Provider Practice Location
3491 GANDY PARK
SUITE 100
PINELLAS PARK
FL
33781
Practice Location Phone/Fax
| Phone: | 7273902211 |
| Fax: | 3175208200 |
Provider Mailing Location
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS
IN
462686135
Provider Mailing Phone/Fax
| Phone: | 8553240885 |
| Fax: | 3175208200 |