Individual provider · Type 1 NPI

Jennifer Ruiz

Behavior Technician · Pocatello, ID

NPI number 1962379479 Active

Practice location

500 S 11th Ave Ste 504
Pocatello, ID 83201-4881

Fax (208) 522-4026

Mailing address

2222 Teton Plz Ste 2
Idaho Falls, ID 83404-6485

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1962379479

Jennifer Ruiz's National Provider Identifier is 1962379479, issued on Oct 20, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Pocatello, ID. The record was last updated on Oct 20, 2025.