Provider Demographics
NPI:1023819091
Name:RUELAS, GABRIELLA DAWN
Entity type:Individual
Prefix:
First Name:GABRIELLA
Middle Name:DAWN
Last Name:RUELAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 746621
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80006-6621
Mailing Address - Country:US
Mailing Address - Phone:720-484-0387
Mailing Address - Fax:
Practice Address - Street 1:5859 PIERCE ST APT 201
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-5537
Practice Address - Country:US
Practice Address - Phone:720-229-3724
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician