Ryan, Brendan

Ryan, Brendan is an sole proprietor health care provider with primary practice located at 8901 Provincetown Pl , Louisville KY 40242-6907. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Ryan, Brendan can be contacted via phone (815) 325-4648.

Contact Information

Primary practice address
8901 Provincetown Pl Louisville KY 40242-6907
Phone: (815) 325-4648
Fax: (866) 373-0972
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 0099 Kentucky
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X KY-0035 Kentucky

Profile Details

NPI number 1063542173
LBN Legal business name Ryan, Brendan
Credentials MS, LPP, BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2007
Last updated May 2nd, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers