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NPI Code Detail

MEDICARE: VANESSA RUBALCABA

MEDICARE: VANESSA RUBALCABA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1003529009
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA RUBALCABA
Provider Business Mailing Address
First Line : 1274 CENTER COURT DR STE 211
Second Line :
City : COVINA
State : CA
Zip : 91724-3668
Country : US
Telephone Number : 626-339-4999
Fax Number :
Provider Business Practice Location Address
First Line : 1274 CENTER COURT DR STE 211
Second Line :
City : COVINA
State : CA
Zip : 91724-3668
Country : US
Telephone Number : 626-339-4999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2023
Last Update Date : 06/02/2026

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Directions to “ VANESSA RUBALCABA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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