Aiyana Ruiz

Individual provider Active NPI Behavior Technician · Ashland, CA

NPI 1336933019 · NPPES record last updated Apr 7, 2025

Key facts

NPI
1336933019
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1624 Brockton Way
Ashland, CA 94578-2138
Phone
(510) 294-9525
NPI assigned
Apr 7, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Amaze Behavior Consultants, LLC Past
since Apr 13, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1624 Brockton Way
Ashland, CA 94578-2138

Mailing address

3409 Gail CT
Stockton, CA 95206-5608
Phone (510) 993-4125

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 7, 2025.

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1336933019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 GAIL CT",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952065608",
            "telephone_number": "510-993-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 BROCKTON WAY",
            "city": "ASHLAND",
            "state": "CA",
            "postal_code": "945782138",
            "telephone_number": "510-294-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "AIYANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, CA

All providers in Ashland, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.