Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Surya Renee Oglesby

Individual provider Behavior Technician · NPI 1013654722

Surya Renee Oglesby is a Behavior Technician in Bridgeport, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2022

Practice location Address checks out

6296 Bridgeport Village Square Dr Ste 2
Bridgeport, MI 48722-9655
Phone: (989) 401-1239
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (MI)

Record details

NPI number1013654722
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 14, 2022
Last updated in NPPESMay 14, 2022
Certification dateMay 14, 2022

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