MEDICARE: SINDY RUIZ BCBA

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
1	103K00000X	Behavior Analyst	1-26-87332	FL

General Provider Information

NPI Number	:	1205371580
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SINDY RUIZ BCBA

Provider Business Mailing Address
First Line	:	7525 E TREASURE DR APT 509
Second Line	:
City	:	NORTH BAY VILLAGE
State	:	FL
Zip	:	33141-4305
Country	:	US
Telephone Number	:	305-676-1088
Fax Number	:

Provider Business Practice Location Address
First Line	:	16201 NE 13TH AVE FL 33162
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-4607
Country	:	US
Telephone Number	:	305-952-3161
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2016
Last Update Date	:	02/10/2026

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