Provider Demographics
NPI:1326895962
Name:RUBI BEHAVIORAL SOLUTIONS
Entity type:Organization
Organization Name:RUBI BEHAVIORAL SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SMILJANA
Authorized Official - Middle Name:VULETIC
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:386-585-5186
Mailing Address - Street 1:16004 WILLOW BLUFF CT
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32218-0143
Mailing Address - Country:US
Mailing Address - Phone:386-585-5186
Mailing Address - Fax:
Practice Address - Street 1:16004 WILLOW BLUFF CT
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32218-0143
Practice Address - Country:US
Practice Address - Phone:386-585-5186
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-01
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty