Active NPI
W. Bruce Ruby II, M.S., BCBA
- Behavior Analyst
- Providence, RI
National Provider Identifier
1285910950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-11-8355
- Practice address
- 610 Manton Ave
Providence, RI 02909-5633 - Phone
- (401) 274-6310
- Fax
- (401) 421-2152
- NPI assigned
- Oct 26, 2011
- Last updated
- Oct 26, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-11-8355 | RI | Primary |
Addresses
Primary practice location
610 Manton Ave
Providence, RI 02909-5633
Mailing address
610 Manton Ave
Providence, RI 02909-5633
Phone (401) 274-6310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-11-8355 | Other | RI | BCBA |
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319587200000",
"number": "1285910950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 MANTON AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029095633",
"telephone_number": "401-274-6310",
"fax_number": "401-421-2152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 MANTON AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029095633",
"telephone_number": "401-274-6310",
"fax_number": "401-421-2152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBY",
"first_name": "W.",
"middle_name": "BRUCE",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "M.S., BCBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-26",
"last_updated": "2011-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "RI",
"license": "1-11-8355",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBA",
"identifier": "1-11-8355",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.