Individual
VANJA RUKAVINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
646 MERRIOTT LN, WOODBURN, OR 97071-6041
(971) 226-0083
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(772) 349-6317
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/07/2026
Last updated
01/07/2026
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