Individual
BRENDAN RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LPP, BCBA
Contact information
Practice address
8901 PROVINCETOWN PL, LOUISVILLE, KY 40242-6907
(815) 325-4648
(866) 373-0972
Mailing address
1169 EASTERN PKWY, SUITE 2360, LOUISVILLE, KY 40217-1417
(815) 325-4648
(866) 373-0972
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
KY-0035
KY
103T00000X
Psychologist
Primary
0099
KY
Other
Enumeration date
03/07/2007
Last updated
05/02/2016
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