Alan Ruiz

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

707 Lake Cook Rd Ste 312
Deerfield, IL 60015-4933

Phone

(877) 486-4140

NPI assigned

Apr 28, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682812800000",
    "number": "1174211833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12845 W MAPLEWOOD RD",
            "city": "BEACH PARK",
            "state": "IL",
            "postal_code": "600999403",
            "telephone_number": "224-214-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 LAKE COOK RD STE 312",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154933",
            "telephone_number": "877-486-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "ALAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-04-30",
        "certification_date": "2023-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "RBT-16-15039",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly R Roszczybiuk, DPT
• Jody K Rotblatt, M.S.W. , PSY.D.
• Jason Rubin, RPH
• Sandra Ruggles, LCPC
• Julia Rugletic, MS, LPC
• Rush-Select Holdings, LLC. (RUSH Physical Therapy)
• Jameson Lynn Rush, RBT
• Wendy June Sabbath, PH.D.
• Lena D Saed, RPH
• Bahareh Sahebi, PSY.D.

• Behavior Technician in Deerfield, IL
• Providers in Deerfield, IL by specialty
• Behavior Technician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2023; 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.