Individual
CHASE ALLEN-TOBIAS OGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2430 S BUSINESS 31, PERU, IN 46970-7188
(765) 460-5071
Mailing address
614 E BOULEVARD, KOKOMO, IN 46902-2271
(765) 461-1245
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-156232
IN
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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