Provider Demographics
NPI:1407281116
Name:RUHI, SHEILA MICHELLE
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:MICHELLE
Last Name:RUHI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SHEILA
Other - Middle Name:MICHELLE
Other - Last Name:RIVERA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5915 PONCE DE LEON BLVD STE 64
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-2435
Mailing Address - Country:US
Mailing Address - Phone:305-397-8679
Mailing Address - Fax:833-817-6434
Practice Address - Street 1:5915 PONCE DE LEON BLVD STE 64
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-2435
Practice Address - Country:US
Practice Address - Phone:305-397-8679
Practice Address - Fax:833-817-6434
Is Sole Proprietor?:No
Enumeration Date:2013-09-12
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-16-24423103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
1-16-24423OtherBACB