Healthcare Provider Details

I. General information

NPI: 1699602763
Provider Name (Legal Business Name): REBECCA R WESTLING
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

717 WEDGEWOOD LN, ATWATER, CALIFORNIA 95301
ATWATER CA
95301
US

IV. Provider business mailing address

1075 CREEKSIDE RIDGE DR STE 280
ROSEVILLE CA
95678-3504
US

V. Phone/Fax

Practice location:
  • Phone: 214-929-5183
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: