Provider Demographics
NPI:1043766256
Name:DARLING, RUBY
Entity Type:Individual
Prefix:
First Name:RUBY
Middle Name:
Last Name:DARLING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4106 TERRACE ST
Mailing Address - Street 2:APT 1
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611-5162
Mailing Address - Country:US
Mailing Address - Phone:707-799-5625
Mailing Address - Fax:
Practice Address - Street 1:139 HUGO STREET
Practice Address - Street 2:APT 3
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94122-2738
Practice Address - Country:US
Practice Address - Phone:310-691-3644
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-28
Last Update Date:2016-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst