Active NPI
Cory Rubertus
- Behavior Analyst
- Raton, NM
National Provider Identifier
1194485649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-24-77251
- Practice address
- 243 Cook Ave
Raton, NM 87740-3930 - Phone
- (580) 319-5770
- Fax
- (580) 319-5770
- NPI assigned
- Dec 26, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-24-77251 | Primary | |
| Behavior Technician | 106S00000X | RBT-21-197599 |
Addresses
Primary practice location
243 Cook Ave
Raton, NM 87740-3930
Mailing address
243 Cook Ave
Raton, NM 87740-3930
Phone (580) 319-5770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771372800000",
"number": "1194485649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "243 COOK AVE",
"city": "RATON",
"state": "NM",
"postal_code": "877403930",
"telephone_number": "580-319-5770",
"fax_number": "580-319-7086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "243 COOK AVE",
"city": "RATON",
"state": "NM",
"postal_code": "877403930",
"telephone_number": "580-319-5770",
"fax_number": "580-319-5770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBERTUS",
"first_name": "CORY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-26",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-24-77251",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": "RBT-21-197599",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raton, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.