Individual
MR. W. BRUCE RUBY II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., BCBA
Contact information
Practice address
610 MANTON AVE, PROVIDENCE, RI 02909-5633
(401) 274-6310
(401) 421-2152
Mailing address
610 MANTON AVE, PROVIDENCE, RI 02909-5633
(401) 274-6310
(401) 421-2152
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-8355
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-11-8355
BCBA
RI
Enumeration date
10/26/2011
Last updated
10/26/2011
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