Walter, Ryan Blake

Walter, Ryan Blake is an individual health care provider with primary practice located at 6479 Caroline St , Milton FL 32570-4502. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Walter, Ryan Blake can be contacted via phone (850) 607-6910.

Contact Information

Primary practice address
6479 Caroline St Milton FL 32570-4502
Phone: (850) 607-6910
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1356925523
LBN Legal business name Walter, Ryan Blake
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2021
Last updated May 12th, 2021 - about 5 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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