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NPI Code Detail

MEDICARE: ROSALIA HOUTMANN DE CUBILLAN

MEDICARE: ROSALIA HOUTMANN DE CUBILLAN
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
2247200000XOther Technician

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 : 1285162321
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSALIA HOUTMANN DE CUBILLAN
Provider Business Mailing Address
First Line : 350 FAIRWAY DR STE 101
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33441-1834
Country : US
Telephone Number : 877-418-2978
Fax Number :
Provider Business Practice Location Address
First Line : 11240 FM 1960 RD W STE 209
Second Line :
City : HOUSTON
State : TX
Zip : 77065-3664
Country : US
Telephone Number : 888-880-9270
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2017
Last Update Date : 07/29/2024

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Directions to “ ROSALIA HOUTMANN DE CUBILLAN ” Practice Location

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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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