Most Relevant Information
Provider Data
| NPI Number: | 1003450032 |
| Provider Name: | ANDREA O'HEA SUAREZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/02/2019 |
| Last Updated: | 03/09/2022 |
Provider Practice Location
501 WASHINGTON LN STE 206
JENKINTOWN
PA
190463145
Practice Location Phone/Fax
| Phone: | 2679784305 |
| Fax: |
Provider Mailing Location
5479 VICARIS ST
PHILADELPHIA
PA
191282826
Provider Mailing Phone/Fax
| Phone: | 6465783336 |
| Fax: |