Chinenyenwa Amagwu
Individual provider Active NPI Behavior Technician · Fairborn, OH
NPI 1366040966 · NPPES record last updated Oct 15, 2020
Key facts
- NPI
- 1366040966
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1750 Commerce Center Blvd
Fairborn, OH 45324-6333 - Phone
- (303) 989-8169
- NPI assigned
- Oct 15, 2020
- 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
1750 Commerce Center Blvd
Fairborn, OH 45324-6333
Mailing address
1750 Commerce Center Blvd
Fairborn, OH 45324-6333
Other providers in Fairborn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2020. 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.