Individual
JENNIFER RUFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3300 36TH ST SE, GRAND RAPIDS, MI 49512
(616) 942-2110
Mailing address
1260 EKHART ST NE, GRAND RAPIDS, MI 49503-1380
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
11830535
MI
103K00000X
Behavior Analyst
Primary
7401000289
MI
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/03/2018
Last updated
02/04/2020
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