Healthcare Provider Details

I. General information

NPI: 1750045647
Provider Name (Legal Business Name): CIERA RUELAS BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2021
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2233 ACADEMY PL STE 200
COLORADO SPRINGS CO
80909-1666
US

IV. Provider business mailing address

8263 RYEGATE WAY
COLORADO SPRINGS CO
80908-5697
US

V. Phone/Fax

Practice location:
  • Phone: 719-301-0002
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: