Provider Demographics
NPI:1982167532
Name:ORIABURE, DAVID
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:ORIABURE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4854 N 113TH DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85037-8350
Mailing Address - Country:US
Mailing Address - Phone:623-330-6269
Mailing Address - Fax:
Practice Address - Street 1:4049 W EL CAMINITO DR
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85051-4619
Practice Address - Country:US
Practice Address - Phone:623-330-6269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-10
Last Update Date:2019-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician