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NPI Code Detail

MEDICARE: KYLE VINCENT RUEBEL

MEDICARE: KYLE VINCENT RUEBEL
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 : 1326904806
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLE VINCENT RUEBEL
Provider Business Mailing Address
First Line : 713 W COMMONWEALTH AVE STE C
Second Line :
City : FULLERTON
State : CA
Zip : 92832-1612
Country : US
Telephone Number : 714-879-4274
Fax Number : 714-879-2274
Provider Business Practice Location Address
First Line : 713 W COMMONWEALTH AVE STE C
Second Line :
City : FULLERTON
State : CA
Zip : 92832-1612
Country : US
Telephone Number : 714-879-4274
Fax Number : 714-879-2274
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2025
Last Update Date : 12/29/2025

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Directions to “ KYLE VINCENT RUEBEL ” Practice Location

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