Ryan, Drew Austin

Ryan, Drew Austin is an individual health care provider with primary practice located at 302 W Main St , Fairborn OH 45324-5037. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Ryan, Drew Austin can be contacted via phone (937) 281-4673.

Contact Information

Primary practice address
302 W Main St Fairborn OH 45324-5037
Phone: (937) 281-4673
Fax: (937) 318-1120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA.17844 Ohio

Profile Details

NPI number 1154083996
LBN Legal business name Ryan, Drew Austin
Credentials CDCA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2021
Last updated Oct 30th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154083996 NPPES
Ohio MEDICAID 0462863

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