Individual
CORY RUBERTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
243 COOK AVE, RATON, NM 87740-3930
(580) 319-5770
(580) 319-5770
Mailing address
243 COOK AVE, RATON, NM 87740-3930
(580) 319-5770
(580) 319-7086
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-77251
—
106S00000X
Behavior Technician
RBT-21-197599
—
Other
Enumeration date
12/26/2021
Last updated
02/18/2026
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