Kikachukwu Abraham
Individual provider Active NPI Behavior Technician · Vineland, NJ
NPI 1104713825 · NPPES record last updated Jun 24, 2025
Key facts
- NPI
- 1104713825
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 629 E Wood St Ste 205
Vineland, NJ 08360-3752 - Phone
- (856) 839-0881
- NPI assigned
- Jun 24, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
629 E Wood St Ste 205
Vineland, NJ 08360-3752
Mailing address
78 Orchard St
Newark, NJ 07102-3423
Phone (862) 298-1599
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All providers in Vineland, NJ · Behavior Technician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.