Provider Demographics
NPI:1386446995
Name:ELGANZOURI, AYA (BCBA, MA)
Entity type:Individual
Prefix:
First Name:AYA
Middle Name:
Last Name:ELGANZOURI
Suffix:
Gender:
Credentials:BCBA, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:159 SOUTH MILITARY ACADEMY
Mailing Address - Street 2:AREA G
Mailing Address - City:NEW CAIRO
Mailing Address - State:CAIRO
Mailing Address - Zip Code:11811
Mailing Address - Country:EG
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:159 SOUTH MILITARY ACADEMY
Practice Address - Street 2:AREA G
Practice Address - City:NEW CAIRO
Practice Address - State:CAIRO
Practice Address - Zip Code:11811
Practice Address - Country:EG
Practice Address - Phone:281-854-9080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA1-23-65437103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst