Provider Demographics
NPI:1912489535
Name:ANKAMA, RUTH OFORIWAH (ABA TECHNICIAN)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:OFORIWAH
Last Name:ANKAMA
Suffix:
Gender:F
Credentials:ABA TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 BLAIRHILL RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28217-1565
Mailing Address - Country:US
Mailing Address - Phone:704-521-4977
Mailing Address - Fax:
Practice Address - Street 1:9117 FISHERS POND DR UNIT B1
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-0168
Practice Address - Country:US
Practice Address - Phone:908-436-7561
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-30
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician