Organization Active NPI

Ruby Behavioral Services LLC

  • Behavior Analyst
  • Norwalk, CA
National Provider Identifier
1275294365
Registry record updated Jan 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2022

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

Authorized official

Name
Ms. Elizabeth Teresa Sequeira, MED, BCBANPI 1841602950
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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.