Provider Demographics
NPI:1093205866
Name:EGBUONU, NGOZIKA CHINOENYE IFEOMA (MA, MS)
Entity Type:Individual
Prefix:MS
First Name:NGOZIKA CHINOENYE
Middle Name:IFEOMA
Last Name:EGBUONU
Suffix:
Gender:F
Credentials:MA, MS
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Mailing Address - Street 1:13612 TREE LEAF CT
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-4205
Mailing Address - Country:US
Mailing Address - Phone:323-501-8616
Mailing Address - Fax:
Practice Address - Street 1:1651 OLD MEADOW RD STE 600
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22102-4389
Practice Address - Country:US
Practice Address - Phone:703-564-1639
Practice Address - Fax:703-734-1932
Is Sole Proprietor?:No
Enumeration Date:2018-05-16
Last Update Date:2018-05-16
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician