Healthcare Provider Details

I. General information

NPI: 1760193783
Provider Name (Legal Business Name): ROXANA ISABEL OCHOA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2022
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2015 AMSTERDAM AVE
NEW YORK NY
10032-5013
US

IV. Provider business mailing address

PO BOX 340
NEW YORK NY
10040-0340
US

V. Phone/Fax

Practice location:
  • Phone: 347-705-7733
  • Fax:
Mailing address:
  • Phone: 347-705-7733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: