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NPI Code Detail

MEDICARE: MISS TINUOLA E OMOLE

MEDICARE: MISS TINUOLA E OMOLE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianCA

General Provider Information

NPI Number : 1639034382
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS TINUOLA E OMOLE
Provider Business Mailing Address
First Line : 7500 SAN FELIPE ST STE 990
Second Line :
City : HOUSTON
State : TX
Zip : 77063-1708
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1944 EMBARCADERO # A
Second Line :
City : OAKLAND
State : CA
Zip : 94606-5213
Country : US
Telephone Number : 510-344-7069
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2025
Last Update Date : 12/16/2025

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1568766681 — MS. SARA JAN BUITRAGO MS, BCBA
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Directions to “ MISS TINUOLA E OMOLE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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