Provider Demographics
NPI:1871972513
Name:JOKHI, HAVOVI KHUSHRU (BCBA, BSL)
Entity type:Individual
Prefix:MRS
First Name:HAVOVI
Middle Name:KHUSHRU
Last Name:JOKHI
Suffix:
Gender:F
Credentials:BCBA, BSL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 AVONWOOD RD
Mailing Address - Street 2:
Mailing Address - City:KENNETT SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19348-1486
Mailing Address - Country:US
Mailing Address - Phone:610-925-3905
Mailing Address - Fax:
Practice Address - Street 1:207 AVONWOOD RD
Practice Address - Street 2:
Practice Address - City:KENNETT SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19348-1486
Practice Address - Country:US
Practice Address - Phone:610-925-3905
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-27
Last Update Date:2015-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-11-9518103K00000X
PABH000193103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst