Provider Demographics
NPI:1669087821
Name:OH, ENHEA (BCBA)
Entity type:Individual
Prefix:
First Name:ENHEA
Middle Name:
Last Name:OH
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 1:44 GODWIN AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:MIDLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07432-1959
Mailing Address - Country:US
Mailing Address - Phone:201-301-0308
Mailing Address - Fax:201-301-0309
Practice Address - Street 1:44 GODWIN AVE STE 300
Practice Address - Street 2:
Practice Address - City:MIDLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:07432-1959
Practice Address - Country:US
Practice Address - Phone:201-301-0308
Practice Address - Fax:201-301-0309
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-14
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1-20-43484103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty