Provider Demographics
NPI:1508221904
Name:RIPSTEIN, JOANNA (BCBA)
Entity type:Individual
Prefix:
First Name:JOANNA
Middle Name:
Last Name:RIPSTEIN
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3279 CLINT MOORE RD APT 201
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33496-3361
Mailing Address - Country:US
Mailing Address - Phone:847-630-2684
Mailing Address - Fax:
Practice Address - Street 1:4641 N STATE ROAD 7 # 19-20
Practice Address - Street 2:
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073-4379
Practice Address - Country:US
Practice Address - Phone:954-228-5616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-29
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1-15-20627103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst