Otis, Ruth Anne Marie

Otis, Ruth Anne Marie is an individual health care provider with primary practice located at 2301 W Bradley Ave , Champaign IL 61821-1849. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Otis, Ruth Anne Marie can be contacted via phone (217) 295-2491.

Contact Information

Primary practice address
2301 W Bradley Ave Champaign IL 61821-1849
Phone: (217) 295-2491
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Illinois

Profile Details

NPI number 1053950188
LBN Legal business name Otis, Ruth Anne Marie
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2020
Last updated Sep 13th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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