Provider Demographics
NPI:1689564304
Name:RUGG, STEVEN AUSTIN
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:AUSTIN
Last Name:RUGG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3601 FOX RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68123-3732
Mailing Address - Country:US
Mailing Address - Phone:402-215-8536
Mailing Address - Fax:
Practice Address - Street 1:1106 GRENOBLE DR
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68123-4129
Practice Address - Country:US
Practice Address - Phone:210-842-7458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-04
Last Update Date:2025-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services