Candice Ryan, BCBA, NCLBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-12-12400 Issued in CA

Practice address

3731 6TH Ave Ste 100
San Diego, CA 92103-4383

Phone

(619) 278-0884

NPI assigned

Nov 19, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Behavioral Blueprints Clinical Services, LLC

  • Behavior Analyst
  • Huntersville, NC
  • NPI 1336952431
  NPD Authorized official
• Aces 2020, LLC

  • Behavior Analyst
  • San Diego, CA
  • NPI 1467520452
  NPD (past)
• Brightbridge ABA North Carolina LLC

  • Behavior Analyst
  • Winston Salem, NC
  • NPI 1396570701
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1043554751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3731 6TH AVE STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034383",
            "telephone_number": "619-278-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3731 6TH AVE STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034383",
            "telephone_number": "619-278-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "CANDICE",
        "credential": "BCBA, NCLBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-19",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-12-12400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Wallrich DMD, PC
• Ryan Wang MD a Professional Corporation
• Ryan William McIntyre, MD Inc.
• Anna R Ryan, PHD LMFT
• Ashley Ryan
• Cecily Joan Ryan, RN
• Chad Ryan
• David Claude Ryan II, M.D.
• Elizabeth Ann Ryan
• Jake Ryan, MS, AMFT

• Behavior Analyst in San Diego, CA
• Providers in San Diego, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.