# BRENDAN RYAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1063542173
- **Gender:** Man
- **Credential:** MS, LPP, BCBA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | KY-0035 | KY | — |
| 103T00000X | Psychologist | 0099 | KY | Yes |

## Other

- **Enumeration date:** 03/07/2007
- **Last updated:** 05/02/2016