Individual provider Active NPI

Eugenia Onwuchuruba, BCABA

  • Assistant Behavior Analyst
  • Vineland, NJ
National Provider Identifier
1639847361
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
0-21-12602 Issued in NJ
Practice address
629 E Wood St Ste 204
Vineland, NJ 08360-3752
Phone
(856) 308-3139
NPI assigned
Aug 30, 2021
Last updated
Aug 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 0-21-12602 NJ Primary

Addresses

Primary practice location

629 E Wood St Ste 204
Vineland, NJ 08360-3752

Mailing address

220 Rowan Blvd Apt 611
Glassboro, NJ 08028-2274
Phone (856) 283-1828

Other practice location 1

1 Lupton Ave
Woodbury, NJ 08096-5901
Phone (856) 537-0635

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": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1639847361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 ROWAN BLVD APT 611",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080282274",
            "telephone_number": "856-283-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 E WOOD ST STE 204",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083603752",
            "telephone_number": "856-308-3139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Lupton Ave",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "NJ",
            "postal_code": "080965901",
            "country_code": "US",
            "telephone_number": "856-537-0635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONWUCHURUBA",
        "first_name": "EUGENIA",
        "credential": "BCABA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NJ",
            "license": "0-21-12602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.