Provider Demographics
NPI:1437873650
Name:OJUKWU, UCHECHUKWUNNA G
Entity Type:Individual
Prefix:
First Name:UCHECHUKWUNNA
Middle Name:G
Last Name:OJUKWU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3102 GOLANSKY BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-4244
Mailing Address - Country:US
Mailing Address - Phone:571-396-6736
Mailing Address - Fax:703-436-9434
Practice Address - Street 1:3102 GOLANSKY BLVD STE 201
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-4244
Practice Address - Country:US
Practice Address - Phone:571-396-6736
Practice Address - Fax:703-436-9434
Is Sole Proprietor?:No
Enumeration Date:2022-09-30
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician