Provider Demographics
NPI:1457243099
Name:RUHLAND, KIRSTIE (CCC-SLP, BCBA)
Entity type:Individual
Prefix:
First Name:KIRSTIE
Middle Name:
Last Name:RUHLAND
Suffix:
Gender:F
Credentials:CCC-SLP, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 LOCUST ST APT 1909
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50309-3431
Mailing Address - Country:US
Mailing Address - Phone:301-704-1891
Mailing Address - Fax:
Practice Address - Street 1:100 ATLANTIC AVE APT 900
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90802-5150
Practice Address - Country:US
Practice Address - Phone:310-704-1891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-21-50143103K00000X
IA115659235Z00000X
CA26757235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst