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Kimberly Covarrubias, SUDRC

NPI 1013747716 · on the registry since 2024 · sole proprietor

Practice

Address: 13212 Chapman Ave
Garden Grove, CA 92840
Phone: (657) 657-3247
Organisation at this address: Fortiva Llc
Recovery Beach
Cactus Gardens Opportunity House, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: Behavior Technician
106S00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-08-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California