Chidera Isabella Akpudiogwu IV

Individual provider Active NPI Behavior Analyst · Inglewood, CA

NPI 1487488276 · NPPES record last updated Aug 26, 2024

Key facts

NPI
1487488276
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
Y4367171 (CA)
Practice address
2535 W Imperial Hwy Apt 3
Inglewood, CA 90303-3169
Phone
(310) 261-5430
NPI assigned
Aug 26, 2024
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

State licenses

LicenseStateTypeSpecialty
Y4367171CAMDBehavioral Analyst

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Y4367171 CA Yes

Addresses

Primary practice location

2535 W Imperial Hwy Apt 3
Inglewood, CA 90303-3169

Mailing address

2535 W Imperial Hwy Apt 3
Inglewood, CA 90303-3169
Phone (310) 261-5430

Other providers in Inglewood, CA

All providers in Inglewood, CA · Behavior Analyst in California

Sources for this page

Verify at the official NPI Registry.