Provider Demographics
NPI:1073274114
Name:MUZA, ONIAS TARUWINGA (PHD)
Entity Type:Individual
Prefix:DR
First Name:ONIAS
Middle Name:TARUWINGA
Last Name:MUZA
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12009 SONORAN RUN
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46037-0007
Mailing Address - Country:US
Mailing Address - Phone:765-418-0057
Mailing Address - Fax:
Practice Address - Street 1:12009 SONORAN RUN
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46037-0007
Practice Address - Country:US
Practice Address - Phone:765-418-0057
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-30
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty