Individual
NANCY L PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
2475 W CHICAGO ST, RAPID CITY, SD 57702-2467
(605) 206-5004
(605) 646-4840
Mailing address
2475 W CHICAGO ST, RAPID CITY, SD 57702-2467
(605) 206-5004
(605) 646-4840
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
021-ABA
SD
Other
Enumeration date
10/06/2018
Last updated
01/06/2020
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