Provider Demographics
NPI:1144065343
Name:RUBEN, AYLA (MED CKLC, IOCC)
Entity type:Individual
Prefix:
First Name:AYLA
Middle Name:
Last Name:RUBEN
Suffix:
Gender:F
Credentials:MED CKLC, IOCC
Other - Prefix:
Other - First Name:AYLA
Other - Middle Name:
Other - Last Name:CUNNINGHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1605 HILL ST UNIT 4
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-3629
Mailing Address - Country:US
Mailing Address - Phone:919-592-2137
Mailing Address - Fax:
Practice Address - Street 1:106 S CHURCH ST STE 4
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-4455
Practice Address - Country:US
Practice Address - Phone:919-592-2137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-28
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach