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NPI Code Detail

MEDICARE: NDIDI OKAFOR

MEDICARE: NDIDI OKAFOR
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1700371655
Entity Type Code : Individual
Provider Name (Legal Business Name) : NDIDI OKAFOR
Provider Business Mailing Address
First Line : 3350 SHELBY ST STE 200
Second Line :
City : ONTARIO
State : CA
Zip : 91764-5556
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3350 SHELBY ST STE 200
Second Line :
City : ONTARIO
State : CA
Zip : 91764-5556
Country : US
Telephone Number : 844-423-3434
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2018
Last Update Date : 06/23/2018

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Directions to “ NDIDI OKAFOR ” Practice Location

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