Provider Demographics
NPI:1194119396
Name:OKAIN, JOSHUA GLEN (BCBA, LBA)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:GLEN
Last Name:OKAIN
Suffix:
Gender:M
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4500 STEINER RANCH BLVD APT 2707
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78732-2347
Mailing Address - Country:US
Mailing Address - Phone:737-867-0866
Mailing Address - Fax:
Practice Address - Street 1:1100 FROST ST # TX
Practice Address - Street 2:
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77471-3128
Practice Address - Country:US
Practice Address - Phone:844-830-1683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-25
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2612103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
11518431OtherBEHAVIOR ANALYST CERTIFICATION BOARD
TX2612OtherTEXAS DEPARTMENT OF LICENSING AND REGULATION