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Individual

KRISTIN RUSCITTI PURINGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, BCBA, LBA

Contact information

Practice address
5321 S 138TH ST, OMAHA, NE 68137-2913
(402) 496-1000
(866) 895-8245
Mailing address
5321 S 138TH ST, OMAHA, NE 68137-2913
(402) 496-1000
(866) 895-8245

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-12405
NE
103K00000X
Behavior Analyst
2013039769
MO
103K00000X
Behavior Analyst

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-12-12405
BEHAVIOR ANALYST CERTIFICATION BOARD
NE
01
2013039769
MISSOURI
MO
01
600925130
MIS
IA
Enumeration date
09/14/2013
Last updated
10/07/2022
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