Healthcare Provider Details

I. General information

NPI: 1467397380
Provider Name (Legal Business Name): JOSHUA A RUBIEN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

249 S SCHUYLER AVE FL 2
KANKAKEE IL
60901-3884
US

IV. Provider business mailing address

3215 SANDY RIDGE DR
STEGER IL
60475-1945
US

V. Phone/Fax

Practice location:
  • Phone: 815-262-8397
  • Fax:
Mailing address:
  • Phone: 815-262-8397
  • 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: