Most Relevant Information
Provider Data
| NPI Number: | 1003594888 |
| Provider Name: | TIARA RUIZ RBT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT23-279463 |
Most Important Dates
| Enumeration Date: | 07/10/2023 |
| Last Updated: | 07/10/2023 |
Provider Practice Location
1895 HALEUKANA ST
LIHUE
HI
967669072
Practice Location Phone/Fax
| Phone: | 8086395896 |
| Fax: |
Provider Mailing Location
4151 MOMI ST
KILAUEA
HI
967545312
Provider Mailing Phone/Fax
| Phone: | 8086395896 |
| Fax: |