Provider Demographics
NPI:1790247971
Name:SHWE, RUBY
Entity Type:Individual
Prefix:
First Name:RUBY
Middle Name:
Last Name:SHWE
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 1:3071 HOYA PL
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92503-5664
Mailing Address - Country:US
Mailing Address - Phone:951-500-6338
Mailing Address - Fax:
Practice Address - Street 1:3071 HOYA PL
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92503-5664
Practice Address - Country:US
Practice Address - Phone:951-500-6338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-05
Last Update Date:2019-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst