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Audra Mariah Oberloh

Behavior Technician in Santa Fe, NM. Individual provider (NPI-1).

NPI number1669913752
StatusActive
Last updated in NPPESMar 9, 2017

Details

NPI
1669913752
Entity type
Individual (NPI-1)
Name
Audra Mariah Oberloh
Sex
Female
Sole proprietor
No
Enumeration date
Mar 9, 2017
Last updated
Mar 9, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

424 Alamo Dr
Santa Fe, NM 87501-1522

Phone 206-265-2695

Mailing address

424 Alamo Dr
Santa Fe, NM 87501-1522

Phone 206-265-2695

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