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NPI Code Detail

MEDICARE: ANNA ROLSTON

MEDICARE: ANNA ROLSTON
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1881180263
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA ROLSTON
Provider Business Mailing Address
First Line : 613 OCEAN PARK BLVD
Second Line :
City : SANTA MONICA
State : CA
Zip : 90405-3713
Country : US
Telephone Number : 206-841-6561
Fax Number :
Provider Business Practice Location Address
First Line : 613 OCEAN PARK BLVD
Second Line :
City : SANTA MONICA
State : CA
Zip : 90405-3713
Country : US
Telephone Number : 206-841-6561
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2018
Last Update Date : 03/08/2025

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Directions to “ ANNA ROLSTON ” Practice Location

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