Provider Demographics
NPI:1891590568
Name:VARLEY, JONAH ABRAHAM
Entity type:Individual
Prefix:
First Name:JONAH
Middle Name:ABRAHAM
Last Name:VARLEY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2611 CORTE CASTELLON SE
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87124-8845
Mailing Address - Country:US
Mailing Address - Phone:505-377-0859
Mailing Address - Fax:
Practice Address - Street 1:2611 CORTE CASTELLON SE
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87124-8845
Practice Address - Country:US
Practice Address - Phone:505-377-0859
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician