Individual
GABRIEL TIMOTHY RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4516 MORNINGSIDE AVE, SIOUX CITY, IA 51106-2940
(712) 251-8661
Mailing address
4516 MORNINGSIDE AVE, SIOUX CITY, IA 51106-2940
(712) 333-6095
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-267047
NE
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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