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NPI Code Detail

MEDICARE: IAN ROSAS

MEDICARE:   IAN  ROSAS
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 : 1942168026
Entity Type Code : Individual
Provider Name (Legal Business Name) : IAN ROSAS
Provider Business Mailing Address
First Line : 1000 PASEO CAMARILLO STE 235
Second Line :
City : CAMARILLO
State : CA
Zip : 93010-0754
Country : US
Telephone Number : 805-383-5566
Fax Number :
Provider Business Practice Location Address
First Line : 1000 PASEO CAMARILLO STE 235
Second Line :
City : CAMARILLO
State : CA
Zip : 93010-0754
Country : US
Telephone Number : 805-383-5566
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2026
Last Update Date : 01/15/2026

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Directions to “ IAN ROSAS ” Practice Location

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