Active NPI
Toyia Ezeokafor, BA
- Behavior Analyst
- Eagan, MN
National Provider Identifier
1780383786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 4625 Nicols Rd Ste 104
Eagan, MN 55122-2307 - Phone
- (952) 456-1639
- NPI assigned
- Feb 28, 2023
- Last updated
- Feb 28, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | NU | Primary | |
| Behavior Technician | 106S00000X | NU |
Addresses
Primary practice location
4625 Nicols Rd Ste 104
Eagan, MN 55122-2307
Mailing address
4625 Nicols Rd Ste 104
Eagan, MN 55122-2307
Phone (952) 456-1639
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SS | Medicaid | IL | |
| 84-4274828 | Medicaid | MN |
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
- Credentials
- Bachelor of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677542400000",
"number": "1780383786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4625 NICOLS RD STE 104",
"city": "EAGAN",
"state": "MN",
"postal_code": "551222307",
"telephone_number": "952-456-1639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4625 NICOLS RD STE 104",
"city": "EAGAN",
"state": "MN",
"postal_code": "551222307",
"telephone_number": "952-456-1639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EZEOKAFOR",
"first_name": "TOYIA",
"credential": "BA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-28",
"last_updated": "2023-02-28",
"certification_date": "2023-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SS",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "84-4274828",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eagan, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.