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NPI Code Detail

MEDICARE: SHETIA OGLE

MEDICARE: SHETIA OGLE
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 Technician

General Provider Information

NPI Number : 1053172429
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHETIA OGLE
Provider Business Mailing Address
First Line : 7939 HONEYGO BLVD STE 127
Second Line :
City : NOTTINGHAM
State : MD
Zip : 21236-5905
Country : US
Telephone Number : 443-330-7900
Fax Number :
Provider Business Practice Location Address
First Line : 7939 HONEYGO BLVD STE 127
Second Line :
City : NOTTINGHAM
State : MD
Zip : 21236-5905
Country : US
Telephone Number : 443-330-7900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2024
Last Update Date : 01/22/2024

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Directions to “ SHETIA OGLE ” Practice Location

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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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