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Individual

ALAN RUIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
707 LAKE COOK RD STE 312, DEERFIELD, IL 60015-4933
(877) 486-4140
Mailing address
12845 W MAPLEWOOD RD, BEACH PARK, IL 60099-9403
(224) 214-8650

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-16-15039
TX
106S00000X
Behavior Technician
Primary
IL

Other

Enumeration date
04/28/2023
Last updated
04/30/2023
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