Provider Demographics
NPI:1376918607
Name:BELOVA, OKSANA (BCBA)
Entity Type:Individual
Prefix:MS
First Name:OKSANA
Middle Name:
Last Name:BELOVA
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:MS
Other - First Name:OKSANA
Other - Middle Name:
Other - Last Name:BELOVA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BCBA
Mailing Address - Street 1:690 PIEDMONT AVE NE APT 19
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-1956
Mailing Address - Country:US
Mailing Address - Phone:678-250-3225
Mailing Address - Fax:925-414-4102
Practice Address - Street 1:690 PIEDMONT AVE NE APT 19
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-1956
Practice Address - Country:US
Practice Address - Phone:678-250-3225
Practice Address - Fax:925-414-4102
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-11
Last Update Date:2022-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst