Individual
JAMEE RUDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 HENDRICK LN, CARBONDALE, PA 18407-2015
(570) 687-5242
Mailing address
3 HENDRICK LN, CARBONDALE, PA 18407-2015
(570) 687-5242
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH001866
PA
252Y00000X
Early Intervention Provider Agency
1031020430001
PA
253Z00000X
In Home Supportive Care Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1031020430001
MEDICAL ASSISTANCE
PA
05
—
1031020430001
—
PA
Enumeration date
07/07/2017
Last updated
02/14/2026
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