Individual
MS. KATIE MARIE OGDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2368 CRATER LAKE AVE STE 102, MEDFORD, OR 97504-5006
(541) 415-9723
Mailing address
PO BOX 1835, GRANTS PASS, OR 97528-0156
(541) 415-9723
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OR
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/20/2007
Last updated
02/22/2021
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