MEDICARE: LAURA VARGAS 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	1-14-15186	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	17-30594946	OTHER	CA	NPI

General Provider Information

NPI Number	:	1730594946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA VARGAS BCBA

Provider Business Mailing Address
First Line	:	609 DEEP VALLEY DR.
Second Line	:
City	:	ROLLING HILLS ESTATES
State	:	CA
Zip	:	90274
Country	:	US
Telephone Number	:	310-606-1349
Fax Number	:

Provider Business Practice Location Address
First Line	:	609 DEEP VALLEY DR.
Second Line	:
City	:	ROLLING HILLS ESTATES
State	:	CA
Zip	:	90274
Country	:	US
Telephone Number	:	310-606-1349
Fax Number	:

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

Provider Enumeration Date	:	06/25/2014
Last Update Date	:	02/18/2026

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