Provider Demographics
NPI:1073392007
Name:RUZIC, ANA (MS, BCBA, LBA)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:
Last Name:RUZIC
Suffix:
Gender:F
Credentials:MS, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 STRATFORD PL
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-3692
Mailing Address - Country:US
Mailing Address - Phone:631-455-7813
Mailing Address - Fax:
Practice Address - Street 1:6 STRATFORD PL
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-3692
Practice Address - Country:US
Practice Address - Phone:631-455-7813
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-28
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003077-01103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst