Alicia Jacelyn Ruiz

NPI #1982487252 in West Fork, Arkansas

Provider Information

NPI Number: 1982487252
Entity Type: Individual
Name: Alicia Jacelyn Ruiz
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 18, 2023
Last Updated: Aug 18, 2023

Practice Location

Address: 533 BUTTERFIELD AVE
City: West Fork
State: Arkansas
ZIP Code: 72774-2530
Phone: (870) 688-3426

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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