MEDICARE: REBECCA VILLALBA BCBA

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	103K00000X	Behavior Analyst	1334	NC
2	103K00000X	Behavior Analyst	1-20-41217	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689172199
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA VILLALBA BCBA

Provider Business Mailing Address
First Line	:	PO BOX 749
Second Line	:
City	:	BELMONT
State	:	NC
Zip	:	28012-0749
Country	:	US
Telephone Number	:	704-869-2088
Fax Number	:

Provider Business Practice Location Address
First Line	:	109 E MAIN ST
Second Line	:
City	:	MORGANTON
State	:	NC
Zip	:	28655-6040
Country	:	US
Telephone Number	:	828-438-3310
Fax Number	:	828-608-8118

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

Provider Enumeration Date	:	01/30/2018
Last Update Date	:	03/03/2026

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