MEDICARE: JUSTIN ROBINSON

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		CA

General Provider Information

NPI Number	:	1346108149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUSTIN ROBINSON

Provider Business Mailing Address
First Line	:	4555 30TH ST APT 520
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92116-4588
Country	:	US
Telephone Number	:	619-614-9242
Fax Number	:

Provider Business Practice Location Address
First Line	:	2423 HOOVER AVE
Second Line	:
City	:	NATIONAL CITY
State	:	CA
Zip	:	91950-6619
Country	:	US
Telephone Number	:	619-795-9925
Fax Number	:	877-602-5087

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

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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Directions to “ JUSTIN ROBINSON ” Practice Location

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