Provider Demographics
NPI:1770344640
Name:OAKS DYNAMICS INCORPORATED
Entity type:Organization
Organization Name:OAKS DYNAMICS INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:OGECHUKWU
Authorized Official - Middle Name:P
Authorized Official - Last Name:OZO-ONYALI
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:443-449-1134
Mailing Address - Street 1:5024 CAMPBELL BLVD STE R
Mailing Address - Street 2:
Mailing Address - City:NOTTINGHAM
Mailing Address - State:MD
Mailing Address - Zip Code:21236-5943
Mailing Address - Country:US
Mailing Address - Phone:667-354-0400
Mailing Address - Fax:667-354-0450
Practice Address - Street 1:5024 CAMPBELL BLVD STE R
Practice Address - Street 2:
Practice Address - City:NOTTINGHAM
Practice Address - State:MD
Practice Address - Zip Code:21236-5943
Practice Address - Country:US
Practice Address - Phone:667-354-0400
Practice Address - Fax:667-354-0450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-18
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty