Provider Demographics
NPI:1538543434
Name:HIGHTOWER, OASCHA MONAE (MED, BCBA, COBA, LBA)
Entity type:Individual
Prefix:
First Name:OASCHA
Middle Name:MONAE
Last Name:HIGHTOWER
Suffix:
Gender:F
Credentials:MED, BCBA, COBA, LBA
Other - Prefix:
Other - First Name:OASCHA
Other - Middle Name:MONAE
Other - Last Name:CROSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED, BCBA, COBA, LBA
Mailing Address - Street 1:1064 SUMMIT DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45042-3400
Mailing Address - Country:US
Mailing Address - Phone:513-318-7022
Mailing Address - Fax:513-318-7082
Practice Address - Street 1:1064 SUMMIT DR
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45042-3400
Practice Address - Country:US
Practice Address - Phone:513-318-7022
Practice Address - Fax:513-318-7082
Is Sole Proprietor?:No
Enumeration Date:2015-07-10
Last Update Date:2024-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN1-17-26479103K00000X
AZBEH-000483103K00000X
OHCOBA.00404103K00000X
GA1-17-26479103K00000X
103K00000X
KY241489103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
1-17-26479OtherBCBA CERTIFICATE
OH0295628Medicaid