Healthcare Provider Details

I. General information

NPI: 1831035500
Provider Name (Legal Business Name): NADINE ADHIAMBO ONYACH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5205 COMMONWEALTH CENTRE PKWY
MIDLOTHIAN VA
23112-2623
US

IV. Provider business mailing address

1504 ARMFIELD RD APT H
RICHMOND VA
23225-7631
US

V. Phone/Fax

Practice location:
  • Phone: 804-977-2770
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-427724
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: