NPI 1285123232 · live from the CMS NPI Registry
Breana Ruud, BCBA
Behavior Analyst in Saint Cloud, MN. National Provider Identifier 1285123232, active.
NPI record
| NPI | 1285123232 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 3721 23rd St S Apt 201, Saint Cloud, MN 56301 |
| Practice phone | 218-457-2185 |
| Mailing address | 2804 E 26th St Ste 1, Sioux Falls, SD 57103 |
| Enumerated | May 5, 2018 |
| Last updated | February 25, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 1-19-38921 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.