Individual
LISHA DAMARA OHEARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
52 BLOSSER STREET, FAIRMONT, WV 26554
(304) 376-9809
Mailing address
418 CORONA DR, MORGANTOWN, WV 26508-9191
(304) 376-9809
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-76330
WV
103K00000X
Behavior Analyst
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
12/08/2020
Last updated
04/07/2026
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