Individual
JOHANNA MARIE RUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9120 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5845
(612) 767-7222
Mailing address
1146 HOLLYBROOK DR, WAYZATA, MN 55391-1372
(763) 670-2634
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/10/2021
Last updated
06/12/2025
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