Osariemen Raymond Eguavoen, BCBA: 1-21-53406

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-53406 Issued in CA

Practice address

2338 W Royal Palm Rd Ste J
Phoenix, AZ 85021-9339

Phone

(909) 241-4247

NPI assigned

Aug 31, 2020

Last updated

Apr 7, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1558975300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11953 DOROTHY ST APT 3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495310",
            "telephone_number": "909-241-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2338 W ROYAL PALM RD STE J",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850219339",
            "telephone_number": "909-241-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGUAVOEN",
        "first_name": "OSARIEMEN",
        "middle_name": "RAYMOND",
        "credential": "BCBA: 1-21-53406",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-31",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-21-53406",
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "CA",
            "license": "0-20-11667",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "00002434",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Charles Egelhoff, D.O.
• Brian K Eggen, FNP-C, AGACNP-BC
• Constance G Eggert, OTR
• Mary Jean Eggleston, LPC
• Hamid Eghbal
• Lisa A Ehlenberger-Witt, MA, CAGS
• Lydia Ehlenberger, MD
• Dana Lynn Ehlers, PMHNP
• Erika Elisa Ehlert
• Kayla Ann Ehling

• Behavior Analyst in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Behavior Analyst in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.