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NPI Code Detail

MEDICARE: PAOLA COVARRUBIAS

MEDICARE: PAOLA COVARRUBIAS
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1154280808
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAOLA COVARRUBIAS
Provider Business Mailing Address
First Line : 2550 N HOLLYWOOD WAY STE 301
Second Line :
City : BURBANK
State : CA
Zip : 91505-5025
Country : US
Telephone Number : 866-727-8274
Fax Number :
Provider Business Practice Location Address
First Line : 515 E FAIRVIEW AVE BLDG K
Second Line :
City : SAN GABRIEL
State : CA
Zip : 91776-3040
Country : US
Telephone Number : 866-727-8274
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2026
Last Update Date : 01/19/2026

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Directions to “ PAOLA COVARRUBIAS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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