Richard Michael Pruitt, RBT
Behavior Technician in Albuquerque, NM. Individual provider (NPI-1).
NPI number1356808398
StatusActive
Last updated in NPPESFeb 26, 2019
Details
- NPI
- 1356808398
- Entity type
- Individual (NPI-1)
- Name
- Mr. Richard Michael Pruitt
- Credential
- RBT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 26, 2019
- Last updated
- Feb 26, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
415 Romero St Nw # AAlbuquerque, NM 87104-1421
Phone 505-933-1033
Mailing address
415 Romero St Nw # AAlbuquerque, NM 87104-1421
Phone 505-933-1033
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