Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Osariemen Raymond Eguavoen, BCBA1-21-53406

Individual provider Assistant Behavior Analyst · NPI 1558975300

Osariemen Raymond Eguavoen, BCBA1-21-53406 is an Assistant Behavior Analyst in Phoenix, Arizona. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
Specialties on file
3

Practice location Address checks out

2338 W Royal Palm Rd Ste J
Phoenix, AZ 85021-9339
Phone: (909) 241-4247
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-21-53406 (CA)
Assistant Behavior Analyst Taxonomy 106E00000X · Licence 0-20-11667 (CA)
Behavior Technician Taxonomy 106S00000X · Licence 00002434 (CA)

Record details

NPI number1558975300
Entity typeIndividual (Type 1)
GenderMale
Credentials BCBA1-21-53406
Sole proprietorYes
NPI enumeratedAugust 31, 2020
Last updated in NPPESApril 7, 2025
Certification dateApril 7, 2025

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