Healthcare Provider Details

I. General information

NPI: 1487285185
Provider Name (Legal Business Name): NANCY JANET OCHOA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2020
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 TIMBER DR E STE 110
GARNER NC
27529-7881
US

IV. Provider business mailing address

630 TIMBER DR E STE 110
GARNER NC
27529-7881
US

V. Phone/Fax

Practice location:
  • Phone: 919-926-8884
  • Fax:
Mailing address:
  • Phone: 919-926-8884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-2852266
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number19-83915
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: