IndividualActive
Brandis Ruise, BCBA
NPI 1881968832 · Clinical Child & Adolescent Psychologist · Middleburg, FL
Provider details
- NPI number
- 1881968832
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- BCBA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0810007282 (VA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
3168 Peppertree Dr
Middleburg, FL 32068-8200
Phone: (352) 359-4092
Approximate (ZIP-level) locationGet directions
Mailing address
3168 Peppertree Dr
Middleburg, FL 32068-8200
Registry dates
- Enumerated
- 2012-03-07
- Last updated
- 2021-10-14
- Certified
- 2021-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.