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NPI Code Detail

MEDICARE: SHAINA DAVINA ROBINSON BCBA

MEDICARE: SHAINA DAVINA ROBINSON 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
1103K00000XBehavior Analyst1-18-33915CA

General Provider Information

NPI Number : 1942772025
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAINA DAVINA ROBINSON BCBA
Provider Business Mailing Address
First Line : 14408 S CAIRN AVE
Second Line :
City : COMPTON
State : CA
Zip : 90220-1226
Country : US
Telephone Number : 323-514-9171
Fax Number :
Provider Business Practice Location Address
First Line : 3752 ATLANTIC AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-6667
Country : US
Telephone Number : 562-606-0566
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2018
Last Update Date : 12/29/2018

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