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NPI Code Detail

MEDICARE: CHRISTIAN RENE RUIZ-BETANCOURTH

MEDICARE: CHRISTIAN RENE RUIZ-BETANCOURTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior AnalystCA
2106S00000XBehavior TechnicianRBT-24-360736CA

General Provider Information

NPI Number : 1104664267
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTIAN RENE RUIZ-BETANCOURTH
Provider Business Mailing Address
First Line : 161 CREGAR ST
Second Line :
City : OCEANSIDE
State : CA
Zip : 92054-3607
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 562 W GRAND AVE
Second Line :
City : ESCONDIDO
State : CA
Zip : 92025-2502
Country : US
Telephone Number : 760-691-9622
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2024
Last Update Date : 05/11/2026

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Directions to “ CHRISTIAN RENE RUIZ-BETANCOURTH ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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