| NPI | 1821597030 |
|---|---|
| Former Name | TIANA RENEE RUELAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-20-45690) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-02-03 |
| Last Update Date | 2023-08-29 |