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NPI Code Detail

MEDICARE: RUBY ABA LLC

MEDICARE: RUBY ABA LLC
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
1106E00000XAssistant Behavior Analyst
2106S00000XBehavior Technician
3103K00000XBehavior Analyst

General Provider Information

NPI Number : 1598542755
Entity Type Code : Organization
Provider Name (Legal Business Name) : RUBY ABA LLC
Provider Business Mailing Address
First Line : 6502 ELBROOK AVE APT 3
Second Line :
City : CINCINNATI
State : OH
Zip : 45237-4349
Country : US
Telephone Number : 323-416-6818
Fax Number :
Provider Business Practice Location Address
First Line : 6502 ELBROOK AVE APT 3
Second Line :
City : CINCINNATI
State : OH
Zip : 45237-4349
Country : US
Telephone Number : 323-416-6818
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : MRS. ADINA WEISSMAN
Credential : BCBA
Telephone Number : 718-813-1011
Provider Enumeration Date : 09/12/2023
Last Update Date : 09/14/2023

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Directions to “RUBY ABA LLC ” Practice Location

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