Andre Ruiz
Behavior Technician in Ontario, CA. Individual provider (NPI-1).
NPI number1669969747
StatusActive
Last updated in NPPESApr 16, 2018
Details
- NPI
- 1669969747
- Entity type
- Individual (NPI-1)
- Name
- Andre Ruiz
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 16, 2018
- Last updated
- Apr 16, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
3602 Inland Empire Blvd Ste B208Ontario, CA 91764-4912
Phone 909-476-6464
Mailing address
3602 Inland Empire Blvd Ste B208Ontario, CA 91764-4912
Phone 909-476-6464
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