Individual
CHASTIDY RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 BUCKINGHAM ST, SPRINGFIELD, MA 01109
(413) 885-4571
Mailing address
50 BUCKINGHAM ST, SPRINGFIELD, MA 01109
(413) 885-4571
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
MA
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/01/2021
Last updated
02/23/2021
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