Provider Demographics
NPI:1043024524
Name:RUIZ DE VILLA ARIAS, ABEL ERNESTO (RBT)
Entity type:Individual
Prefix:
First Name:ABEL
Middle Name:ERNESTO
Last Name:RUIZ DE VILLA ARIAS
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10700 CITY CENTER BLVD APT 5391
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33025-4445
Mailing Address - Country:US
Mailing Address - Phone:239-414-9733
Mailing Address - Fax:
Practice Address - Street 1:10700 CITY CENTER BLVD APT 5391
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33025-4445
Practice Address - Country:US
Practice Address - Phone:239-414-9733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-395501106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty