Basic Information
| Provider Information | |||||||||
| NPI: | 1043766256 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DARLING | ||||||||
| FirstName: | RUBY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4106 TERRACE ST | ||||||||
| Address2: | APT 1 | ||||||||
| City: | OAKLAND | ||||||||
| State: | CA | ||||||||
| PostalCode: | 946115162 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7077995625 | ||||||||
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| Practice Location | |||||||||
| Address1: | 139 HUGO STREET | ||||||||
| Address2: | APT 3 | ||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941222738 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3106913644 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/28/2016 | ||||||||
| LastUpdateDate: | 08/28/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103K00000X | CA | Y | Behavioral Health & Social Service Providers | Behavioral Analyst |
No ID Information.