Healthcare Provider Details

I. General information

NPI: 1821744475
Provider Name (Legal Business Name): EDUARDO OCHOA BCBA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2022
Last Update Date: 11/10/2022
Certification Date: 11/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15526 DUMONT AVE
NORWALK CA
90650-5409
US

IV. Provider business mailing address

15526 DUMONT AVE
NORWALK CA
90650-5409
US

V. Phone/Fax

Practice location:
  • Phone: 562-239-7456
  • Fax:
Mailing address:
  • Phone: 562-239-7456
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-21-49448
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBA-549
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: