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NPI Code Detail

MEDICARE: HECTOR L RUIZ M.S., BCBA, LBA (TX)

MEDICARE: HECTOR L RUIZ M.S., BCBA, LBA (TX)
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 Analyst1-07-3664

General Provider Information

NPI Number : 1508206004
Entity Type Code : Individual
Provider Name (Legal Business Name) : HECTOR L RUIZ M.S., BCBA, LBA (TX)
Provider Business Mailing Address
First Line : 6450 N. DESERT BLVD
Second Line : STE B106 PMB282
City : EL PASO
State : TX
Zip : 79912-8524
Country : US
Telephone Number : 915-208-0123
Fax Number : 915-234-2970
Provider Business Practice Location Address
First Line : 6450 N. DESERT BLVD
Second Line : STE B106 PMB282
City : EL PASO
State : TX
Zip : 79912-8524
Country : US
Telephone Number : 915-308-0123
Fax Number : 915-234-2970
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2013
Last Update Date : 07/03/2021

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