Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-20-42663 | TN |
NPI | 1003431966 |
---|---|
Provider Name | Ashley Brook Ruf |
First Address | Dickson, TN 37056-1832 |
Second Address | Dickson, TN 37056-1832 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2020 |
Last Update Date | 15/09/2020 |