MEDICARE: ARIANA SAGE OZOG

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
1	106S00000X	Behavior Technician		WA

General Provider Information

NPI Number	:	1346086758
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARIANA SAGE OZOG

Provider Business Mailing Address
First Line	:	91 NE BELAIRE DR
Second Line	:
City	:	BELFAIR
State	:	WA
Zip	:	98528-8801
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 KITSAP ST
Second Line	:
City	:	PORT ORCHARD
State	:	WA
Zip	:	98366-5327
Country	:	US
Telephone Number	:	616-914-1015
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/04/2024
Last Update Date	:	06/08/2026

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Directions to “ ARIANA SAGE OZOG ” Practice Location

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