Individual
RYAN RUARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
202 FRANKFORT ST, STE 103 AND 104, VERSAILLES, KY 40383
(859) 212-9705
Mailing address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-107917
KY
Other
Enumeration date
07/02/2021
Last updated
01/03/2025
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