Provider Demographics
NPI:1679252803
Name:OATES, ALANA VICTORIA
Entity Type:Individual
Prefix:
First Name:ALANA
Middle Name:VICTORIA
Last Name:OATES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1623 HOMER COOPER RD
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:TX
Mailing Address - Zip Code:75672-4831
Mailing Address - Country:US
Mailing Address - Phone:512-401-7576
Mailing Address - Fax:
Practice Address - Street 1:1623 HOMER COOPER RD
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:TX
Practice Address - Zip Code:75672-4831
Practice Address - Country:US
Practice Address - Phone:512-401-7576
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-14
Last Update Date:2023-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician