Provider Demographics
NPI:1518717677
Name:AJO TORNES, RUTH
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:
Last Name:AJO TORNES
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 1:13332 BALLANTINE LN
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:FL
Mailing Address - Zip Code:34667-6999
Mailing Address - Country:US
Mailing Address - Phone:813-447-7585
Mailing Address - Fax:
Practice Address - Street 1:13332 BALLANTINE LN
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:FL
Practice Address - Zip Code:34667-6999
Practice Address - Country:US
Practice Address - Phone:813-447-7585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician