Provider Demographics
NPI:1407429947
Name:ONWUBUYA, KENECHUKWU
Entity Type:Individual
Prefix:
First Name:KENECHUKWU
Middle Name:
Last Name:ONWUBUYA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21613 RHODES RD
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-3026
Mailing Address - Country:US
Mailing Address - Phone:281-407-1690
Mailing Address - Fax:317-334-7336
Practice Address - Street 1:21613 RHODES RD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-3026
Practice Address - Country:US
Practice Address - Phone:281-407-1690
Practice Address - Fax:317-334-7336
Is Sole Proprietor?:No
Enumeration Date:2021-07-22
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician