Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-09-5114 | FL |
NPI | 1003287475 |
---|---|
Provider Name | Dr. Hernan Dennis Ruf |
First Address | Oakland Park, FL 33311-1535 |
Second Address | Oakland Park, FL 33311-1535 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2015 |
Last Update Date | 12/10/2015 |