Mikkaela D Ruise

NPI #1952802654 in White Salmon, Washington

Provider Information

NPI Number: 1952802654
Entity Type: Individual
Name: Mikkaela D Ruise
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 27, 2018
Last Updated: Feb 27, 2018

Practice Location

Address: 185 NE SNOHOMISH AVE UNIT 724
City: White Salmon
State: Washington
ZIP Code: 98672-0160
Phone: (509) 396-6592

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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