Ruth Bacallao, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-70270 Issued in FL

Practice address

147 Carlisle Ave S
Lehigh Acres, FL 33974-7136

Phone

(239) 240-3836

NPI assigned

Dec 25, 2023

Last updated

Dec 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1703462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703462400000",
    "number": "1356110936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 CARLISLE AVE S",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339747136",
            "telephone_number": "239-240-3836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 CARLISLE AVE S",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339747136",
            "telephone_number": "239-240-3836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACALLAO",
        "first_name": "RUTH",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-25",
        "last_updated": "2023-12-25",
        "certification_date": "2023-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-23-70270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianne Ayala Perez
• Amanda Ayala Santana
• Maricely Ayala, LMT
• Ayl Behavioral Services
• Habib A Azizi, O.D.
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• Adriana Badosa Morejon
• Marylen Baez
• Yuniel Baez
• Adriana Baffil Fuentes, RBT

• Behavior Analyst in Lehigh Acres, FL
• Providers in Lehigh Acres, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2023; 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.