Ryan Wayne Sanford, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3231 Willamette Dr NE Ste C
Lacey, WA 98516-1378

Phone

(803) 873-1920

NPI assigned

Feb 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 1

Addresses

Electronic endpoints 1

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": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1942894696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7832 GANNET CT SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985135512",
            "telephone_number": "360-523-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 WILLAMETTE DR NE STE C",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985161378",
            "telephone_number": "803-873-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANFORD",
        "first_name": "RYAN",
        "middle_name": "WAYNE",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "surface",
            "affiliation": "N",
            "endpointDescription": "laptop",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "message",
            "address_1": "3231 Willamette Dr NE Ste C",
            "city": "Lacey",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985161378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimberly Michelle Sanborn, LMHCA
• Sand and Stone Counseling PLLC
• Steven Lynn Sandifer, D.C.
• Kurt Sandine, MD
• Janet Anonuevo Sanford
• Koushik Varma Sangaraju
• Joshua Santiago
• Ross Jagger Sapp, D.D.S.
• Sara E Woods
• Stefan David Saunders, LMP MA60539535

• Behavior Technician in Lacey, WA
• Providers in Lacey, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.