Eun Ju Koh

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-12-12458

Practice address

21 Bloomingdale Road
Rogers Building- Cadb
White Plains, NY 10605

Phone

(914) 997-5848

Fax

(914) 997-8626

NPI assigned

Jan 24, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Stephanie Eun Ju Koh Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Little Green Tugboat Licensed Behavior Analysis Services, PLLC

  • Behavior Analyst
  • Astoria, NY
  • NPI 1518779578
  NPD

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

{
    "created_epoch": "1390521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390521600000",
    "number": "1902229107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BLOOMINGDALE ROAD",
            "address_2": "ROGERS BUILDING- CENTER FOR AUTISM AND THE DEVELOPING B",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "10605",
            "telephone_number": "914-997-5848",
            "fax_number": "914-997-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BLOOMINGDALE ROAD",
            "address_2": "ROGERS BUILDING- CADB",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "10605",
            "telephone_number": "914-997-5848",
            "fax_number": "914-997-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOH",
        "first_name": "EUN",
        "middle_name": "JU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-24",
        "last_updated": "2014-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-12-12458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "KOH",
            "middle_name": "EUN JU",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Susan Killingbeck Knox, OT
• Leonard Bruce Kobren, D.D.S.
• Khrystyna Kobrin
• Stephen Wayne Kobrin, DC
• Robert Michael Koch, MD
• Kyo Jung Koh, M.D.
• Shermin Koh, RN
• Kari Odquist Kohl, CNM
• Stephen Kohn, MSW
• Kayleigh L Kohnke, LMSW

• Behavior Analyst in White Plains, NY
• Providers in White Plains, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; 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.