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NPI Code Detail

MEDICARE: AMAKA NKECHI ALICHE BCBA, LBS

MEDICARE:   AMAKA NKECHI ALICHE  BCBA, LBS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst12581178PA

General Provider Information

NPI Number : 1891685814
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMAKA NKECHI ALICHE BCBA, LBS
Provider Business Mailing Address
First Line : 1221 E FLETCHER ST UNIT 103
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19125-3547
Country : US
Telephone Number : 856-536-2246
Fax Number :
Provider Business Practice Location Address
First Line : 1061 BRIDGE ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19124-1824
Country : US
Telephone Number : 856-536-2246
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2025
Last Update Date : 07/09/2025

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Directions to “ AMAKA NKECHI ALICHE BCBA, LBS” Practice Location

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