Individual
TARA DAWN OPPENHEIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4312 WHISTLING MOON LN, SANTA FE, NM 87507-2622
(505) 429-6770
Mailing address
4312 WHISTLING MOON LN, SANTA FE, NM 87507-2622
(505) 429-6770
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-32593
NM
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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