Provider Demographics
NPI:1902790223
Name:RUIZ, OLYVIA AILEEN (BA)
Entity type:Individual
Prefix:
First Name:OLYVIA
Middle Name:AILEEN
Last Name:RUIZ
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:Q13 QUINCY CIR
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08810-1340
Mailing Address - Country:US
Mailing Address - Phone:732-213-1397
Mailing Address - Fax:
Practice Address - Street 1:Q13 QUINCY CIR
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:NJ
Practice Address - Zip Code:08810-1340
Practice Address - Country:US
Practice Address - Phone:732-213-1397
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician