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NPI Code Detail

MEDICARE: MRS. KASI ANN RUBIN BCBA, LBA

MEDICARE: MRS. KASI ANN RUBIN BCBA, LBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093255861
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KASI ANN RUBIN BCBA, LBA
Provider Business Mailing Address
First Line : 1055 HOWELL MILL RD NW # 8
Second Line :
City : ATLANTA
State : GA
Zip : 30318-5557
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1055 HOWELL MILL RD NW # 8
Second Line :
City : ATLANTA
State : GA
Zip : 30318-5557
Country : US
Telephone Number : 770-200-5155
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2017
Last Update Date : 12/09/2025

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