Provider Demographics
NPI:1477891844
Name:CHOO, PHILIP (BCBA)
Entity Type:Individual
Prefix:
First Name:PHILIP
Middle Name:
Last Name:CHOO
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BEEHIVE CT
Mailing Address - Street 2:
Mailing Address - City:MAHWAH
Mailing Address - State:NJ
Mailing Address - Zip Code:07430-1724
Mailing Address - Country:US
Mailing Address - Phone:201-456-2155
Mailing Address - Fax:
Practice Address - Street 1:1 BEEHIVE CT
Practice Address - Street 2:
Practice Address - City:MAHWAH
Practice Address - State:NJ
Practice Address - Zip Code:07430-1724
Practice Address - Country:US
Practice Address - Phone:201-456-2155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-19
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst