Kelly Lynn Ryker, MA, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

3215 W Ray Rd
Chandler, AZ 85226-2425

Phone

(480) 893-7685

Fax

(480) 546-4198

NPI assigned

Jun 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kelly Teague Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Blue Sprig Pediatrics, Inc

  • Behavior Analyst
  • Phoenix, AZ
  • NPI 1629711288
  NPD (past)
• Hopebridge, LLC

  • Child & Adolescent Psychiatry Physician
  • Kokomo, IN
  • NPI 1891820668

  Behavior Analyst

  NPD (past)
• Soar Health, Inc.

  • Behavior Analyst
  • Denver, CO
  • NPI 1437751252
  NPD (past)

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1811513385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 SAN FELIPE ST STE 990",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770631708",
            "telephone_number": "281-826-3382",
            "fax_number": "425-491-7683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 W RAY RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262425",
            "telephone_number": "480-893-7685",
            "fax_number": "480-546-4198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYKER",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "credential": "MA, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "1-21-52332",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "TEAGUE",
            "credential": "MA, BCBA, LBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelly Ryan
• Jason Arthur Rycerz
• Mia Lauren Ryckman, PHYSICIAN ASSISTANT
• Ryken Inc
• Ryken-Med Inc
• Rylyn, Inc.
• Dorothy J Rzewnicki, PNP
• S.L. Walker DDS Inc.
• S&a Advisory Group LLC
• S&a Advisory Group LLC

• Behavior Analyst in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Behavior Analyst in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.