Provider Demographics
NPI:1932408150
Name:EACHUS, HERBERT TODD (BCBA-D)
Entity Type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:TODD
Last Name:EACHUS
Suffix:
Gender:M
Credentials:BCBA-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 STRYKER RD
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-7262
Mailing Address - Country:US
Mailing Address - Phone:732-356-8212
Mailing Address - Fax:
Practice Address - Street 1:2 STRYKER RD
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-7262
Practice Address - Country:US
Practice Address - Phone:732-356-8212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-28
Last Update Date:2011-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1096383103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst