Individual
MARIA RUHSTORFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4606 108TH ST SW, LAKEWOOD, WA 98499-4146
(253) 693-2626
Mailing address
9901 FARWEST DR SW, LAKEWOOD, WA 98498-1834
(915) 227-7895
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-45672
—
106S00000X
Behavior Technician
RBT-18-62627
—
Other
Enumeration date
08/08/2018
Last updated
12/09/2020
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