Osariemen Eguavoen, BCBA: 1-21-53406

NPI 1558975300 · on the registry since 2020 · sole proprietor

Practice

Address: 2338 W Royal Palm Rd Ste J
Phoenix, AZ 85021
Phone: (909) 241-4247
Organisation at this address: Iwc West Llc
Neighborhood Hospice Llc
Portable X Ray Of Arizona Llc
Portable Imaging Of Arizona, Llc
Arizona Interventional Medical Group Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 61

Registry record

Primary taxonomy: 103K00000X
103K00000X
Also registered as: 106E00000X
106S00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-04-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona