Healthcare Provider Details

I. General information

NPI: 1841528551
Provider Name (Legal Business Name): MVRUGEABA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2009
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1456 PINE ISLAND VIEW
MT PLEASANT SC
29464-3838
US

IV. Provider business mailing address

1456 PINE ISLAND VIEW
MT PLEASANT SC
29464-3838
US

V. Phone/Fax

Practice location:
  • Phone: 843-343-8875
  • Fax:
Mailing address:
  • Phone: 843-343-8875
  • Fax: 843-546-0412

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-09-5328
License Number State

VIII. Authorized Official

Name: MRS. MELISSA VALENTINE RUGE
Title or Position: OWNER, DIRECTOR
Credential: BCBA
Phone: 843-343-8875