Provider Demographics
NPI:1790300051
Name:ONOMAKE, BELINA
Entity Type:Individual
Prefix:
First Name:BELINA
Middle Name:
Last Name:ONOMAKE
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 1:503 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:MD
Mailing Address - Zip Code:21001-3223
Mailing Address - Country:US
Mailing Address - Phone:301-676-7895
Mailing Address - Fax:
Practice Address - Street 1:503 MARKET ST
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:MD
Practice Address - Zip Code:21001-3223
Practice Address - Country:US
Practice Address - Phone:301-676-7895
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-12
Last Update Date:2020-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician