Ryan, Mandi Nicole
Ryan, Mandi Nicole is an individual health care provider with primary practice located at 1040 Cliff Gookin Blvd Ste H , Tupelo MS 38801-6467. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Ryan, Mandi Nicole can be contacted via phone (662) 205-4375.Contact Information
Primary practice address
1040 Cliff Gookin Blvd Ste H
Tupelo MS 38801-6467
Phone: (662) 205-4375
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-23-64591 | Mississippi |
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 220054 | Mississippi |
Profile Details
| NPI number | 1619672276 |
|---|---|
| LBN Legal business name | Ryan, Mandi Nicole |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2023 |
| Last updated | Apr 3rd, 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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