Individual
MARY RUBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 E MICHIGAN AVE, PAW PAW, MI 49079-1354
(269) 615-8209
Mailing address
5564 SUMMER RIDGE WAY APT A, KALAMAZOO, MI 49009-1053
(219) 877-8241
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-62673
IN
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/21/2020
Last updated
03/12/2024
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