Provider Demographics
NPI:1922668706
Name:RABLS INC
Entity Type:Organization
Organization Name:RABLS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:
Authorized Official - Last Name:DETRING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-383-1497
Mailing Address - Street 1:400 W VENTURA BLVD STE 150
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-9140
Mailing Address - Country:US
Mailing Address - Phone:804-383-1497
Mailing Address - Fax:805-383-1498
Practice Address - Street 1:8670 W CHEYENNE AVE STE 110
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-7457
Practice Address - Country:US
Practice Address - Phone:725-202-1497
Practice Address - Fax:725-202-1500
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RABLS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-06-14
Last Update Date:2019-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty