Michael John Ryan, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

5953 Issued in TX

Practice address

5804 Babcock Rd Ste 231
San Antonio, TX 78240-2134

Phone

(210) 685-2266

Fax

(210) 468-5573

NPI assigned

Jun 23, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1194394247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 PILOT PT",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "781084275",
            "telephone_number": "210-273-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5804 BABCOCK RD STE 231",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782402134",
            "telephone_number": "210-685-2266",
            "fax_number": "210-468-5573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-23",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "RBT-15-03101",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "5953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ryan, RN
• Jo Ann Ryan, D.C.
• Jobie Ryan
• Laurajo Ryan, PHARM.D.
• Margarita Ryan, OT
• Robert P Ryan, MD
• Sandra Lynn Ryan, RN
• Sarah J Ryan, LPC
• Stacy R Ryan
• Tara Ryan, LPC

• Behavior Analyst in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.