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NPI Code Detail

MEDICARE: RUBI AVILA

MEDICARE: RUBI AVILA
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 : 1346179082
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUBI AVILA
Provider Business Mailing Address
First Line : 3031 BEVERLY BLVD STE B
Second Line :
City : LOS ANGELES
State : CA
Zip : 90057-1013
Country : US
Telephone Number : 323-644-9380
Fax Number :
Provider Business Practice Location Address
First Line : 3031 BEVERLY BLVD STE B
Second Line :
City : LOS ANGELES
State : CA
Zip : 90057-1013
Country : US
Telephone Number : 323-644-9380
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/18/2026

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Directions to “ RUBI AVILA ” Practice Location

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