Most Relevant Information
Provider Data
| NPI Number: | 1003488263 |
| Provider Name: | MAGDALINE AKUDO OPARAOCHAEKWE-EBERE BEHAVIOR TECHNICIAN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/15/2021 |
| Last Updated: | 07/15/2021 |
Provider Practice Location
1174 CORNUCOPIA ST NW STE 110
SALEM
OR
973043193
Practice Location Phone/Fax
| Phone: | 8002734292 |
| Fax: | 7145966274 |
Provider Mailing Location
11037 WARNER AVE # 339
FOUNTAIN VALLEY
CA
927084007
Provider Mailing Phone/Fax
| Phone: | 8002734292 |
| Fax: | 7145966274 |