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NPI Code Detail

MEDICARE: RUBI ANGELICA VILLANUEVA

MEDICARE: RUBI ANGELICA VILLANUEVA
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 : 1417809948
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUBI ANGELICA VILLANUEVA
Provider Business Mailing Address
First Line : 416 LEMONTREE LN
Second Line :
City : DESOTO
State : TX
Zip : 75115-5482
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 209 BILLINGS ST STE 410
Second Line :
City : ARLINGTON
State : TX
Zip : 76010-2474
Country : US
Telephone Number : 817-592-5665
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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Directions to “ RUBI ANGELICA VILLANUEVA ” Practice Location

Language Start Address Practice Location
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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