Mfonobong Utin

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

8117 Ebenezer Church Rd
Raleigh, NC 27612-7307

Phone

(888) 329-4535

NPI assigned

Apr 22, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1720833866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 PEBBLESTONE DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277037194",
            "telephone_number": "336-327-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8117 EBENEZER CHURCH RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276127307",
            "telephone_number": "888-329-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTIN",
        "first_name": "MFONOBONG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": "NC",
            "license": "1720833866",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Urvi Ravindran DDS PLLC
• US Department of Veterans Affairs
• US Radiology Connexia LLC
• Kathryn Lenhart Usedom, NP CNM
• Michael J Utecht, MD
• Brittany Utley, DNP, APRN, PMHNP-BC
• Gregory William Utz, CRNA
• Linda Zuleyma Uvalle
• Ezinne Nkechi Uwakwe, MSW, LCSWA
• Gentille Uwase

• Behavior Technician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Behavior Technician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.