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NPI Code Detail

MEDICARE: SAMANTHA RUBINCHIK

MEDICARE: SAMANTHA RUBINCHIK
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 : 1821844473
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA RUBINCHIK
Provider Business Mailing Address
First Line : 8442 REILLY DR
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92646-5512
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8442 REILLY DR
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92646-5512
Country : US
Telephone Number : 661-300-1272
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2024
Last Update Date : 04/25/2024

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Directions to “ SAMANTHA RUBINCHIK ” Practice Location

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