Individual
RYAN ROARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
820 N THOMPSON LN STE 1M, MURFREESBORO, TN 37129-4341
(615) 962-8627
Mailing address
910 MORRISON ST, NASHVILLE, TN 37208-3126
(615) 962-8627
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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