Walter Agingu

Individual provider Active NPI Behavior Technician · Raleigh, NC

NPI 1689427429 · NPPES record last updated Apr 10, 2024

Key facts

NPI
1689427429
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
8300 Health Park Ste 10
Raleigh, NC 27615-4731
Phone
(704) 780-4271
NPI assigned
Apr 10, 2024
Sex
Male
Sole proprietor
Yes

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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

8300 Health Park Ste 10
Raleigh, NC 27615-4731

Mailing address

8300 Health Park Ste 10
Raleigh, NC 27615-4731
Phone (704) 780-4271

Other providers in Raleigh, NC

All providers in Raleigh, NC · Behavior Technician in North Carolina

Sources for this page

Verify at the official NPI Registry.