Individual
ALLYSON RUECKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4846 HAZELTINE AVE, #5, SHERMAN OAKS, CA 91423-2357
(805) 390-1599
Mailing address
4846 HAZELTINE AVE, #5, SHERMAN OAKS, CA 91423-2357
(805) 390-1599
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
CA
Other
Enumeration date
02/14/2012
Last updated
04/30/2012
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