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NPI Code Detail

MEDICARE: ISABELA REZENDE DE OLIVEIRA

MEDICARE: ISABELA REZENDE DE OLIVEIRA
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 TechnicianRBT-26-531079OK

General Provider Information

NPI Number : 1629995931
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISABELA REZENDE DE OLIVEIRA
Provider Business Mailing Address
First Line : 2208 W DETROIT ST
Second Line :
City : BROKEN ARROW
State : OK
Zip : 74012-3629
Country : US
Telephone Number : 918-900-6237
Fax Number :
Provider Business Practice Location Address
First Line : 2208 W DETROIT ST
Second Line :
City : BROKEN ARROW
State : OK
Zip : 74012-3629
Country : US
Telephone Number : 918-900-6237
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2026
Last Update Date : 06/30/2026

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Directions to “ ISABELA REZENDE DE OLIVEIRA ” Practice Location

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