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NPI Code Detail

MEDICARE: ANA DRAGANA LJUBINOVIC

MEDICARE:   ANA DRAGANA LJUBINOVIC
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
1106E00000XAssistant Behavior Analyst

General Provider Information

NPI Number : 1700643657
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANA DRAGANA LJUBINOVIC
Provider Business Mailing Address
First Line : 12110 HINDRY AVE
Second Line :
City : HAWTHORNE
State : CA
Zip : 90250-3401
Country : US
Telephone Number : 310-213-8883
Fax Number :
Provider Business Practice Location Address
First Line : 12110 HINDRY AVE
Second Line :
City : HAWTHORNE
State : CA
Zip : 90250-3401
Country : US
Telephone Number : 310-725-2100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2024
Last Update Date : 03/05/2024

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Directions to “ ANA DRAGANA LJUBINOVIC ” Practice Location

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