Provider Demographics
NPI:1164875258
Name:CAVILEER, EVA (BCBA)
Entity Type:Individual
Prefix:
First Name:EVA
Middle Name:
Last Name:CAVILEER
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3322 ERIE AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45208-1655
Mailing Address - Country:US
Mailing Address - Phone:513-492-2374
Mailing Address - Fax:
Practice Address - Street 1:3322 ERIE AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45208-1655
Practice Address - Country:US
Practice Address - Phone:513-492-2374
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-13
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1-16-22536103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst