Individual
NESTOR DANIEL RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3838 NW 36TH ST STE 200, OKLAHOMA CITY, OK 73112-2916
(405) 702-9032
Mailing address
5801 NW 46TH ST, WARR ACRES, OK 73122-5102
(405) 593-7013
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-41963
OK
106S00000X
Behavior Technician
15-07340
OK
Other
Enumeration date
12/05/2019
Last updated
06/09/2020
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