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NPI Code Detail

MEDICARE: ZORA MARIE BUBALA

MEDICARE: ZORA MARIE BUBALA
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 : 1780549956
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZORA MARIE BUBALA
Provider Business Mailing Address
First Line : 3785 BAKER LN STE 201
Second Line :
City : RENO
State : NV
Zip : 89509-5454
Country : US
Telephone Number : 775-556-4825
Fax Number :
Provider Business Practice Location Address
First Line : 3785 BAKER LN STE 201
Second Line :
City : RENO
State : NV
Zip : 89509-5454
Country : US
Telephone Number : 775-556-4825
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2025
Last Update Date : 12/19/2025

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Directions to “ ZORA MARIE BUBALA ” 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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