Individual
THERESIA MWACHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
485 HARLEY DR APT 417, COLUMBUS, OH 43202-1980
(504) 335-8233
Mailing address
485 HARLEY DR APT 417, COLUMBUS, OH 43202-1980
(504) 335-8233
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
OH
171W00000X
Contractor
—
OH
177F00000X
Lodging Provider
—
OH
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
OH
347C00000X
Private Vehicle
—
OH
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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