Most Relevant Information
Provider Data
| NPI Number: | 1003553090 |
| Provider Name: | RYAN JOSE SALVADOR |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/19/2022 |
| Last Updated: | 05/19/2022 |
Provider Practice Location
9701 APOLLO DR STE 100
UPPER MARLBORO
MD
207744785
Practice Location Phone/Fax
| Phone: | 3014564787 |
| Fax: | 3012351642 |
Provider Mailing Location
9701 APOLLO DR STE 100
UPPER MARLBORO
MD
207744785
Provider Mailing Phone/Fax
| Phone: | 3014564787 |
| Fax: | 3012351642 |