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General NPI Number Information
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NPI Number | 1669823324
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Entity Type | Individual
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Provider Name | ERIKA RUIZ BCBA, MA, LBA
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Gender | Female
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Dates
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Enumeration Date | 06/23/2016
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Last Update Date | 11/22/2025
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Provider Practice Location Address
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Address Line | 126 E MAIN AVE
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City | ZEELAND
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State | MI
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Zip | 49464-1736
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Country | US
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Telephone | 616-900-5001
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Fax |
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Provider Business Mailing Address
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Address Line | 4873 BURRWOOD ST SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-3769
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Country | US
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Telephone | 616-900-5001
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 1-18-32219
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License Number State | MI
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