Individual
MR. RICHARD MICHAEL PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
415 ROMERO ST NW # A, ALBUQUERQUE, NM 87104-1421
(505) 933-1033
Mailing address
415 ROMERO ST NW # A, ALBUQUERQUE, NM 87104-1421
(505) 933-1033
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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