Individual
RYLIE BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1582 N WAGGONER RD STE A, BLACKLICK, OH 43004-8669
(614) 344-0419
Mailing address
1582 N WAGGONER RD STE A, BLACKLICK, OH 43004-8669
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
OH
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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