Theodor Dmitry Obukhov
Theodor Dmitry Obukhov is a Behavior Technician in Oakland, California. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1520 79th AveOakland, CA 94621-2644
Phone: (408) 493-9788
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1023898871 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 29, 2023 |
| Last updated in NPPES | September 29, 2023 |
| Certification date | September 29, 2023 |
| Mailing address | 1880 Fairway Dr, San Leandro, CA 94577-5629 |
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