Individual ProviderMagdalena Sophia RuizBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address6624 S 196th St, Suite U 107, Kent, WA 98032(800) 249-1266PECOS EnrollmentBased on the most recent information from CMS, provider Magdalena Sophia Ruiz does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 35 days ago.Profile DetailsProvider ID1285210419Provider TypeIndividualFull NameRuiz, Magdalena SophiaGenderFemaleSole ProprietorNoEnumeration Date3/18/2021Last Updated3/18/2021Contact InformationPractice LocationPractice Address6624 S 196th St, Suite U 107, Kent, WA 98032Phone(800) 249-1266FaxUnlisted FaxMailing LocationMailing Address1301 E Orangewood Ave, Anaheim, CA 92805-6807Phone(800) 249-1266FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer