Individual
KAYLEE RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A, BCBA
Contact information
Practice address
1428 PINE ST, LAKE OSWEGO, OR 97034-6055
(310) 702-4425
Mailing address
1428 PINE ST, LAKE OSWEGO, OR 97034-6055
(310) 702-4425
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-13832
CA
Other
Enumeration date
06/04/2014
Last updated
06/04/2014
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