Active NPI
Ruby Behavioral Services LLC
- Behavior Analyst
- Norwalk, CA
National Provider Identifier
1275294365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- RUBY BEHAVIORAL SERVICES LLC
- Practice address
- 15616 Graystone Ave
Norwalk, CA 90650-6257 - Phone
- (919) 600-2246
- Fax
- (562) 265-0906
- NPI assigned
- Jan 1, 2022
- Last updated
- Jan 1, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Elizabeth Teresa Sequeira, MED, BCBA
- Title
- Chief Executive Officer
- Phone
- (919) 600-2246
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | NU | Primary |
Addresses
Primary practice location
15616 Graystone Ave
Norwalk, CA 90650-6257
Mailing address
15616 Graystone Ave
Norwalk, CA 90650-6257
Phone (919) 600-2246
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Behavior Analyst
- Norwalk, CA
- NPI 1841602950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1640995200000",
"number": "1275294365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15616 GRAYSTONE AVE",
"city": "NORWALK",
"state": "CA",
"postal_code": "906506257",
"telephone_number": "919-600-2246",
"fax_number": "800-459-1078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15616 GRAYSTONE AVE",
"city": "NORWALK",
"state": "CA",
"postal_code": "906506257",
"telephone_number": "919-600-2246",
"fax_number": "562-265-0906"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUBY BEHAVIORAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-01",
"last_updated": "2022-01-01",
"certification_date": "2022-01-01",
"status": "A",
"authorized_official_last_name": "SEQUEIRA",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "TERESA",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "919-600-2246",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MED, BCBA"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.