Provider Demographics
NPI:1396622767
Name:MADUCHI, VICTOR CHIEDOZIE
Entity type:Individual
Prefix:
First Name:VICTOR
Middle Name:CHIEDOZIE
Last Name:MADUCHI
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 1:1980 N TUSCANY LN # 1980
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93619-9163
Mailing Address - Country:US
Mailing Address - Phone:334-249-5659
Mailing Address - Fax:
Practice Address - Street 1:1980 N TUSCANY LN # 1980
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93619-9163
Practice Address - Country:US
Practice Address - Phone:334-249-5659
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst