Provider Demographics
NPI:1760150940
Name:OXENFORD, EMANUELA BITAJ (BCBA)
Entity Type:Individual
Prefix:
First Name:EMANUELA
Middle Name:BITAJ
Last Name:OXENFORD
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 1:605 WALDEN WAY
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08048-4630
Mailing Address - Country:US
Mailing Address - Phone:208-477-8400
Mailing Address - Fax:
Practice Address - Street 1:605 WALDEN WAY
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NJ
Practice Address - Zip Code:08048-4630
Practice Address - Country:US
Practice Address - Phone:208-477-8400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-01
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1-21-49286103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst