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Andrea Rubin

Behavior Technician in Las Vegas, NV. Individual provider (NPI-1).

NPI number1669166336
StatusActive
Last updated in NPPESJun 6, 2023

Details

NPI
1669166336
Entity type
Individual (NPI-1)
Name
Andrea Rubin
Sex
Female
Sole proprietor
No
Enumeration date
Jun 6, 2023
Certification date
Jun 6, 2023
Last updated
Jun 6, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

3213 W Charleston Blvd Ste 101
Las Vegas, NV 89102-1991

Phone 702-987-3133

Mailing address

1712 S Steen Rd
Veradale, WA 99037-8053

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Behavior Technician providers in Las Vegas, NV

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