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NPI Code Detail

MEDICARE: VICKY TAUBMAN

MEDICARE:   VICKY  TAUBMAN
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 : 1396382289
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICKY TAUBMAN
Provider Business Mailing Address
First Line : 5834 ADENMOOR AVE
Second Line :
City : LAKEWOOD
State : CA
Zip : 90713-1002
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5834 ADENMOOR AVE
Second Line :
City : LAKEWOOD
State : CA
Zip : 90713-1002
Country : US
Telephone Number : 303-989-8169
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2019
Last Update Date : 02/08/2026

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Directions to “ VICKY TAUBMAN ” Practice Location

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