Ketia Ifulu

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

700 Milam St Ste 1300
Houston, TX 77002-2736

Phone

(888) 880-9270

Fax

(866) 500-2186

NPI assigned

Dec 4, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1760258446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23286 RICHARDS RD APT 11306",
            "city": "PRAIRIE VIEW",
            "state": "TX",
            "postal_code": "774454279",
            "telephone_number": "972-801-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MILAM ST STE 1300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770022736",
            "telephone_number": "888-880-9270",
            "fax_number": "866-500-2186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IFULU",
        "first_name": "KETIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iflourish Health and Wellness Institute
• Onome Ifoeze, MD
• Huma Irfan Iftikhar, M.D.
• Irfan Iftikhar, MD
• Mussadiq Iftikhar, DDS
• Ify'S Home
• Ifyoucanttinkle PLLC
• Iganzio G. la China, M.D., P.a.
• Anthony Anoghena Igbadumhe
• Tolu Igbalajobi, DR

• Behavior Technician in Houston, TX
• Providers in Houston, TX by specialty
• Behavior Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.