MEDICARE: CAROLIN REBECCA JUBENVILLE

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1164364535
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLIN REBECCA JUBENVILLE

Provider Business Mailing Address
First Line	:	5868 BAKER RD
Second Line	:
City	:	MINNETONKA
State	:	MN
Zip	:	55345
Country	:	US
Telephone Number	:	952-767-4200
Fax Number	:	952-767-4211

Provider Business Practice Location Address
First Line	:	538 MAIN STREET
Second Line	:	SUITE 110
City	:	CAMBRIDGE
State	:	MN
Zip	:	55008
Country	:	US
Telephone Number	:	952-767-4200
Fax Number	:	952-767-4211

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2026
Last Update Date	:	04/07/2026

Similar Medicare Providers

1841132206 — LILY BETSY HAMILTON
Practice Location Address:

538 MAIN STREET , SUITE 110
CAMBRIDGE, MN
55008

Practice Phone: 952-767-4200
Practice Fax: 952-767-4211

1609244078 — SHAWNA S MILZ PA-C
Practice Location Address:

701 DELLWOOD ST S
CAMBRIDGE, MN
55008-1920

Practice Phone: 763-689-9700
Practice Fax: 763-688-7941

1487650800 — DR. BRADLEY ROLAND WINTER D.C.
Practice Location Address:

1535 1ST AVE E
CAMBRIDGE, MN
55008-1753

Practice Phone: 763-689-0462
Practice Fax:

1255339578 — CAMBRIDGE NURSING HOME INC
Practice Location Address:

548 1ST AVE W
CAMBRIDGE, MN
55008-1020

Practice Phone: 763-689-2323
Practice Fax: 763-689-2930

1366444366 — JULIE C. REDDAN M.D.
Practice Location Address:

701 DELLWOOD ST S
CAMBRIDGE, MN
55008-1920

Practice Phone: 763-689-8700
Practice Fax: 763-688-7941

1831182062 — JOSEPH TAIT GIBBONS OD
Practice Location Address:

120 NORTH MAIN ST
CAMBRIDGE, MN
55008

Practice Phone: 763-689-1441
Practice Fax: 763-689-3925

Directions to “ CAROLIN REBECCA JUBENVILLE ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.