Active NPI
Allyssa Ruiz
- Assistant Behavior Analyst
- Billings, MT
National Provider Identifier
1407355068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- PSY-ABA-LIC-2705
- Practice address
- 708 Broadwater Ave
Billings, MT 59101-2710 - Phone
- (406) 259-1680
- Fax
- (406) 259-1777
- NPI assigned
- Feb 8, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | PSY-ABA-LIC-2705 | MT | Primary |
Addresses
Primary practice location
708 Broadwater Ave
Billings, MT 59101-2710
Mailing address
708 Broadwater Ave
Billings, MT 59101-2710
Phone (406) 259-1680
Other names 1
- Miss Allyssa Williams
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY-ABA-LIC-2705 | MT | MD | Assistant Behavior Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569196800000",
"number": "1407355068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 BROADWATER AVE",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591012710",
"telephone_number": "406-259-1680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 BROADWATER AVE",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591012710",
"telephone_number": "406-259-1680",
"fax_number": "406-259-1777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "ALLYSSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-08",
"last_updated": "2019-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "MT",
"license": "PSY-ABA-LIC-2705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALLYSSA",
"last_name": "WILLIAMS",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.