Healthcare Provider Details

I. General information

NPI: 1831015098
Provider Name (Legal Business Name): DR. SANDRA U NKUCHE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36 TREMONT TER
IRVINGTON NJ
07111-3710
US

IV. Provider business mailing address

36 TREMONT TER
IRVINGTON NJ
07111-3710
US

V. Phone/Fax

Practice location:
  • Phone: 979-739-4324
  • Fax:
Mailing address:
  • Phone: 979-739-4324
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number26NH19779700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: