Provider Demographics
NPI:1871289462
Name:SARAIVA, RUTH LOPES (CBT)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:LOPES
Last Name:SARAIVA
Suffix:
Gender:F
Credentials:CBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10625 NE 148TH ST
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-4825
Mailing Address - Country:US
Mailing Address - Phone:425-533-4845
Mailing Address - Fax:
Practice Address - Street 1:10625 NE 148TH ST
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-4825
Practice Address - Country:US
Practice Address - Phone:425-533-4845
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-17
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician