Ryan Landvatter

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

6140 W Executive Dr Ste B
Mequon, WI 53092-4499

Phone

(262) 388-7151

NPI assigned

Jan 31, 2023

Last updated

Jan 31, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1790491918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6140 W EXECUTIVE DR STE B",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530924499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 W EXECUTIVE DR STE B",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530924499",
            "telephone_number": "262-388-7151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDVATTER",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Angela M Lancaster, NP
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• Kylie Lange
• Allen D Langeberg, D.D.S.
• Lynne D Langlois, D.O.
• Nancy Yvonne Larson, D.D.S.

• Behavior Technician in Mequon, WI
• Providers in Mequon, WI by specialty
• Behavior Technician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.