| Ruby Behavioral Services Llc | |
|
15616 Graystone Ave Norwalk CA 90650-6257 | |
| (919) 600-2246 | |
| (562) 265-0906 |
| Full Name | Ruby Behavioral Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 15616 Graystone Ave, Norwalk, California |
| Authorized Official Name and Position | Elizabeth Teresa Sequeira (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9196002246 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ruby Behavioral Services Llc 15616 Graystone Ave Norwalk CA 90650-6257 Ph: (919) 600-2246 | Ruby Behavioral Services Llc 15616 Graystone Ave Norwalk CA 90650-6257 Ph: (919) 600-2246 |
| NPI Number | 1275294365 |
|---|---|
| Provider Enumeration Date | 01/01/2022 |
| Last Update Date | 01/01/2022 |
| Certification Date | 01/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275294365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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