Individual provider · Type 1 NPI

Jessica Nichole Ryback

Developmental Therapist · West Melbourne, FL

NPI number 1619615473 Active

Practice location

4615 Explorer Dr Apt 101
West Melbourne, FL 32904-9190

Other practice locations

  • 12064 Krameria Ct, Brighton, CO 80602-4611 · (303) 944-3636

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1619615473

Jessica Nichole Ryback's National Provider Identifier is 1619615473, issued on May 23, 2022. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in West Melbourne, FL. The record was last updated on Jun 23, 2022.