Healthcare Provider Details

I. General information

NPI: 1326950304
Provider Name (Legal Business Name): DANA KLOBUCAR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3360 EMMAUS RD
ROCKINGHAM VA
22801-2685
US

IV. Provider business mailing address

PO BOX 1403
HARRISONBURG VA
22803-1403
US

V. Phone/Fax

Practice location:
  • Phone: 386-451-7133
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number0133005602
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: