Nicholas Ruddy

NPI #1417557166 in Waterford, Michigan

Provider Information

NPI Number: 1417557166
Entity Type: Individual
Name: Nicholas Ruddy
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 30, 2020
Last Updated: Nov 25, 2020

Practice Location

Address: 955 CAMPUS DR N
City: Waterford
State: Michigan
ZIP Code: 48328-2754
Phone: (248) 475-6300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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