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General NPI Number Information
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NPI Number | 1659179513
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Entity Type | Organization
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Legal Business Name | RUBY MOUNTAIN BEHAVIOR SERVICES
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Dates
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Enumeration Date | 03/06/2025
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 529 2ND STREET
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City | WELLS
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State | NV
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Zip | 89835
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Country | US
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Telephone | 775-340-3880
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 861
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City | WELLS
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State | NV
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Zip | 89835-0861
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Country | US
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Telephone | 775-340-3880
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Fax |
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Authorized Official
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Title or Position | BOARD CERTIFIED BEHAVIOR ANAYLST
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Name | NORMAN HEATH KINGTON
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Credential | BCBA
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Telephone | 776-340-3880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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