Shelley Ruiz, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-52666 Issued in SC

Practice address

113 Whitsett St
Greenville, SC 29601-3138

Phone

(864) 520-1614

NPI assigned

Feb 12, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Shelley Stacy Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1073079349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 WHITSETT ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296013138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 WHITSETT ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296013138",
            "telephone_number": "864-520-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "SHELLEY",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-12",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "SC",
            "license": "1-21-52666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLEY",
            "last_name": "STACY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeffrey Michael Ruggieri, M.D.
• Andres C Ruiz Alicea, MA, MSW, LCSW
• Daniel Ruiz
• Elizabeth Patricia Ruiz, CRNA
• Sara Pope Ruiz, M.D.
• Terry James Rumler II, LISW-CP
• Brian Keith Rundall, D.O.
• Paul Edward Rundberg, D.M.D.
• George W Rung, MD
• Todd Samuel Rushe, MD

• Behavior Analyst in Greenville, SC
• Providers in Greenville, SC by specialty
• Behavior Analyst in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.