Provider Demographics
NPI:1932963196
Name:OKOH, AMARACHI EMMA (RBT)
Entity Type:Individual
Prefix:
First Name:AMARACHI
Middle Name:EMMA
Last Name:OKOH
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15155 RICHMOND AVE APT 231
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-1632
Mailing Address - Country:US
Mailing Address - Phone:281-760-6239
Mailing Address - Fax:
Practice Address - Street 1:7219 CRIMSON SKY DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-6917
Practice Address - Country:US
Practice Address - Phone:281-760-6239
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
23-306801106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician