Individual
DYLAN RUDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED
Contact information
Practice address
4664 LARWELL DR, COLUMBUS, OH 43220-3621
(614) 487-7805
Mailing address
4664 LARWELL DR, COLUMBUS, OH 43220-3621
(614) 487-7805
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-34971
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/16/2018
Last updated
11/22/2024
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