Healthcare Provider Details

I. General information

NPI: 1699170589
Provider Name (Legal Business Name): DEBRA RABHAN MCD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DEBRA RABHAN

II. Dates (important events)

Enumeration Date: 11/04/2014
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

655 NE 180TH ST
NORTH MIAMI BEACH FL
33162-1136
US

IV. Provider business mailing address

655 NE 180TH ST
NORTH MIAMI BEACH FL
33162-1136
US

V. Phone/Fax

Practice location:
  • Phone: 877-486-4140
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number242003362
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: