Individual
KRISTINE RUDZIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
229 N SHELDON RD, PLYMOUTH, MI 48170-1524
(313) 278-4601
Mailing address
2701 EAGLE EYE RDG, MOLT, MT 59057-2156
(321) 615-4513
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
15-10098
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-18-30390
BCBA
—
01
—
15-10098
RBT
FL
Enumeration date
11/03/2016
Last updated
06/23/2023
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