Healthcare Provider Details

I. General information

NPI: 1114850567
Provider Name (Legal Business Name): CHIOMA I BARCO- EKEKE BCBA, LBS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHIOMA I BARCO

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48 REVERE ST. APARTMENT 6
DREXEL HILL PA
19026
US

IV. Provider business mailing address

332 WALNUT AVE
ALDAN PA
19018-4221
US

V. Phone/Fax

Practice location:
  • Phone: 267-269-4172
  • Fax:
Mailing address:
  • Phone: 267-269-4172
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1396501631
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: