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NPI Code Detail

MEDICARE: SAMANTHA RUFF BCBA

MEDICARE: SAMANTHA RUFF BCBA
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1598335408
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA RUFF BCBA
Provider Business Mailing Address
First Line : 1824 TOUBY PIKE STE B
Second Line :
City : KOKOMO
State : IN
Zip : 46901-2573
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2606 VALLEY DR
Second Line :
City : VALPARAISO
State : IN
Zip : 46383-2511
Country : US
Telephone Number : 574-387-4313
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2021
Last Update Date : 02/01/2022

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Directions to “ SAMANTHA RUFF BCBA” Practice Location

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