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Individual

ERNESTINE RUIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
416 W 15TH ST UNIT 600, EDMOND, OK 73013
(405) 562-6072
Mailing address
416 W 15TH SUITE 600, EDMOND, OK 73013

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
OK
106S00000X
Behavior Technician
Primary

Other

Enumeration date
07/30/2025
Last updated
07/30/2025
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