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NPI Code Detail

MEDICARE: JOCELINE RUIZ RBT

MEDICARE: JOCELINE RUIZ RBT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianRBT0306NV
2106S00000XBehavior TechnicianRBT-16-23354NV

General Provider Information

NPI Number : 1396294187
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOCELINE RUIZ RBT
Provider Business Mailing Address
First Line : 4132 S RAINBOW BLVD # 175
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-3106
Country : US
Telephone Number : 702-900-7698
Fax Number : 702-825-0791
Provider Business Practice Location Address
First Line : 2820 W CHARLESTON BLVD STE 22
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1933
Country : US
Telephone Number : 702-900-7698
Fax Number : 702-825-0791
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2016
Last Update Date : 06/09/2021

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Directions to “ JOCELINE RUIZ RBT” Practice Location

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