Active NPI
Chinonye Odimegwu
- Behavior Technician
- Boston, MA
National Provider Identifier
1396470050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- Behavior Frontiers, LLC
90 Canal Street, 4TH Floor
Boston, MA 02114 - Phone
- (888) 922-2843
- Fax
- (855) 568-2494
- NPI assigned
- Jul 18, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
Behavior Frontiers, LLC
90 Canal Street, 4TH Floor
Boston, MA 02114
Mailing address
Behavior Frontiers, LLC
90 Canal Street, 4TH Floor
Boston, MA 02114
Phone (888) 922-2843
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658102400000",
"number": "1396470050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BEHAVIOR FRONTIERS, LLC",
"address_2": "90 CANAL STREET, 4TH FLOOR",
"city": "BOSTON",
"state": "MA",
"postal_code": "02114",
"telephone_number": "888-922-2843",
"fax_number": "855-568-2494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BEHAVIOR FRONTIERS, LLC",
"address_2": "90 CANAL STREET, 4TH FLOOR",
"city": "BOSTON",
"state": "MA",
"postal_code": "02114",
"telephone_number": "888-922-2843",
"fax_number": "855-568-2494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODIMEGWU",
"first_name": "CHINONYE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-18",
"last_updated": "2022-07-18",
"certification_date": "2022-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.