Provider Demographics
NPI:1003431966
Name:RUF, ASHLEY BROOK (BCBA)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:BROOK
Last Name:RUF
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1832
Mailing Address - Street 2:
Mailing Address - City:DICKSON
Mailing Address - State:TN
Mailing Address - Zip Code:37056-1832
Mailing Address - Country:US
Mailing Address - Phone:615-319-8021
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 1832
Practice Address - Street 2:
Practice Address - City:DICKSON
Practice Address - State:TN
Practice Address - Zip Code:37056-1832
Practice Address - Country:US
Practice Address - Phone:931-682-6195
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-16
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1-20-42663103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst