BENITA RUFFIN - NPI 1477260396 - Licensed Psychiatric Technician in San Bernardino, CA

Q: What is Benita Ruffin's NPI number?

The NPI number for Benita Ruffin is 1477260396. It was assigned to this individual provider in the NPPES registry on October 31, 2022.

Q: What is Benita Ruffin's specialty?

The primary specialty registered for this NPI is Licensed Psychiatric Technician with taxonomy code 167G00000X.

Q: When was this NPI record last updated?

The NPPES record for Benita Ruffin was last updated on October 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Benita Ruffin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BENITA RUFFIN (NPI 1477260396) is an individual licensed psychiatric technician in San Bernardino, California, licensed in California (PT29968) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1477260396

Entity TypeIndividualFemale

Primary Taxonomy167G00000X

Provider Legal NameBENITA RUFFIN

Location Address2080 S E STSan Bernardino, CA 92408-2773

Mailing Address2080 S E StSan Bernardino, CA 92408-2773 · (909) 388-9191 · Fax (909) 388-9195

Phone(909) 388-9191

Fax(909) 388-9195

Sole ProprietorNo

Enumeration DateOctober 31, 2022

NPPES CertifiedOctober 31, 2022

✔ NPI 1477260396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers

Taxonomy Code167G00000X

License✔ Licensed in CA · PT29968

Definition

An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.

2080 S E ST, San Bernardino, CA 92408

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHNNY TAMAS

Licensed Psychiatric Technician