BEGIN:VCARD VERSION:3.0 FN:Ryan West N:West;Ryan;;; TITLE:Behavior Technician TEL;TYPE=WORK,VOICE:+18182351414 URL:https://www.gale.care/providers/ca/fresno/ryan-west-1952985129 NOTE:NPI 1952985129. From the NPPES registry (CMS)\, file of 2026-06-08. No t affiliated with Gale. X-NPI:1952985129 END:VCARD