Provider Demographics
NPI:1023479581
Name:VAHAI, AUBRI M
Entity type:Individual
Prefix:MRS
First Name:AUBRI
Middle Name:M
Last Name:VAHAI
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 1:110 MONTALTO DR UNIT D
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82007-6514
Mailing Address - Country:US
Mailing Address - Phone:307-287-6110
Mailing Address - Fax:
Practice Address - Street 1:110 MONTALTO DR UNIT D
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82007-6514
Practice Address - Country:US
Practice Address - Phone:307-287-6110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-11
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY108824624171M00000X
251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No171M00000XOther Service ProvidersCase Manager/Care Coordinator