Provider Demographics
NPI:1700653268
Name:TOBON ROBLES, ALMA LIZETH
Entity Type:Individual
Prefix:
First Name:ALMA
Middle Name:LIZETH
Last Name:TOBON ROBLES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 11TH AVE
Mailing Address - Street 2:
Mailing Address - City:DELANO
Mailing Address - State:CA
Mailing Address - Zip Code:93215-2103
Mailing Address - Country:US
Mailing Address - Phone:661-446-2066
Mailing Address - Fax:
Practice Address - Street 1:26300 CHESTER CT
Practice Address - Street 2:
Practice Address - City:TEHACHAPI
Practice Address - State:CA
Practice Address - Zip Code:93561-7476
Practice Address - Country:US
Practice Address - Phone:661-699-4899
Practice Address - Fax:661-491-7204
Is Sole Proprietor?:No
Enumeration Date:2023-12-05
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
13886106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst