Individual
RUDY BOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
971 E WICHITA AVE, RUSSELL, KS 67665-2444
(208) 490-0752
Mailing address
971 E WICHITA AVE, RUSSELL, KS 67665-2444
(208) 490-0752
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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