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NPI Code Detail

MEDICARE: AUDREY O'HARA BCBA

MEDICARE: AUDREY O'HARA BCBA
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
1103K00000XBehavior Analyst1-15-20581

General Provider Information

NPI Number : 1467815845
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUDREY O'HARA BCBA
Provider Business Mailing Address
First Line : 555 MARRIOTT DR STE 315
Second Line :
City : NASHVILLE
State : TN
Zip : 37214-5088
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 555 MARRIOTT DR STE 315
Second Line :
City : NASHVILLE
State : TN
Zip : 37214-5088
Country : US
Telephone Number : 615-258-8400
Fax Number : 855-568-2494
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2016
Last Update Date : 09/16/2025

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Directions to “ AUDREY O'HARA BCBA” Practice Location

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