Provider Demographics
NPI:1851955348
Name:ANUNKOR, CHIEMEKA C (BCBA)
Entity Type:Individual
Prefix:
First Name:CHIEMEKA
Middle Name:C
Last Name:ANUNKOR
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5730 NORTHWEST PKWY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-3377
Mailing Address - Country:US
Mailing Address - Phone:626-428-6634
Mailing Address - Fax:
Practice Address - Street 1:5730 NORTHWEST PKWY
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-3377
Practice Address - Country:US
Practice Address - Phone:626-428-6634
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-30
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-19-38349103K00000X
106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician