Provider Demographics
NPI:1851722268
Name:OCHI, MADOKA (PHD BCBA-D)
Entity Type:Individual
Prefix:
First Name:MADOKA
Middle Name:
Last Name:OCHI
Suffix:
Gender:F
Credentials:PHD BCBA-D
Other - Prefix:
Other - First Name:MADOKA
Other - Middle Name:
Other - Last Name:OCHI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD BCBA-D
Mailing Address - Street 1:9109 TAHOMA ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43240-6025
Mailing Address - Country:US
Mailing Address - Phone:614-347-9930
Mailing Address - Fax:
Practice Address - Street 1:9109 TAHOMA ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43240-6025
Practice Address - Country:US
Practice Address - Phone:614-347-9930
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-11
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst