Provider Demographics
NPI:1336943299
Name:JUBRAN, REEMA
Entity type:Individual
Prefix:
First Name:REEMA
Middle Name:
Last Name:JUBRAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:393 RICKETTS RD APT C
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-7422
Mailing Address - Country:US
Mailing Address - Phone:831-277-6349
Mailing Address - Fax:
Practice Address - Street 1:393 RICKETTS RD APT C
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-7422
Practice Address - Country:US
Practice Address - Phone:831-277-6349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst