Healthcare Provider Details

I. General information

NPI: 1437507191
Provider Name (Legal Business Name): MRS. NADIA MARCELA RUBIO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NADIA GUZMAN

II. Dates (important events)

Enumeration Date: 06/02/2016
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2730 SHADELANDS DR BLDG 10
WALNUT CREEK CA
94598-2538
US

IV. Provider business mailing address

2730 SHADELANDS DR BLDG 10
WALNUT CREEK CA
94598-2538
US

V. Phone/Fax

Practice location:
  • Phone: 925-266-8400
  • Fax:
Mailing address:
  • Phone: 619-252-0794
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-22-59242
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1974
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number15BC00034800
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number0133005098
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: