Most Relevant Information
Provider Data
| NPI Number: | 1003385121 |
| Provider Name: | NIKKI ASHRAFIAN RUIZ-STOUT BCBA |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 3220 |
Most Important Dates
| Enumeration Date: | 11/19/2018 |
| Last Updated: | 01/19/2023 |
Provider Practice Location
120 PRECISION
BUDA
TX
786105925
Practice Location Phone/Fax
| Phone: | 9493009954 |
| Fax: |
Provider Mailing Location
10329 FOREST GROVE DR
AUSTIN
TX
787471810
Provider Mailing Phone/Fax
| Phone: | 9493009954 |
| Fax: |