Healthcare Provider Details

I. General information

NPI: 1124972799
Provider Name (Legal Business Name): RUBY LANETTE SCHNEIDER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/23/2026
Last Update Date: 02/23/2026
Certification Date: 02/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 BIG BEND LOOP
ANTHONY NM
88021-7239
US

IV. Provider business mailing address

1225 BIG BEND LOOP
ANTHONY NM
88021-7239
US

V. Phone/Fax

Practice location:
  • Phone: 915-491-3243
  • Fax:
Mailing address:
  • Phone: 915-491-3243
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number515911995
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: