Provider Demographics
NPI:1467250274
Name:RUBINMARTIN, DEBORAH ANN (RBT)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:ANN
Last Name:RUBINMARTIN
Suffix:
Gender:
Credentials:RBT
Other - Prefix:MS
Other - First Name:DEBORAH
Other - Middle Name:A
Other - Last Name:RUBINMARTIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:22052 PALMS WAY APT 101
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-8012
Mailing Address - Country:US
Mailing Address - Phone:561-809-6992
Mailing Address - Fax:
Practice Address - Street 1:22052 PALMS WAY APT 101
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-8012
Practice Address - Country:US
Practice Address - Phone:561-809-6992
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-417214106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty