Healthcare Provider Details

I. General information

NPI: 1912545005
Provider Name (Legal Business Name): ZHIHAO OU
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2019
Last Update Date: 10/13/2022
Certification Date: 10/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4301 FORBES BLVD STE B
LANHAM MD
20706-4446
US

IV. Provider business mailing address

1500 S DOUGLAS RD STE 230
CORAL GABLES FL
33134-4108
US

V. Phone/Fax

Practice location:
  • Phone: 240-242-5985
  • Fax:
Mailing address:
  • Phone: 844-244-1818
  • Fax: 888-512-0733

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-22-61820
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberBACB521114
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: