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Iheariochi Agwamba, LBS

Behavior Analyst in Philadelphia, PA. Individual provider (NPI-1).

NPI number1609582600
StatusActive
Last updated in NPPESJan 24, 2023

Details

NPI
1609582600
Entity type
Individual (NPI-1)
Name
Iheariochi Agwamba
Credential
LBS
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 24, 2023
Certification date
Jan 24, 2023
Last updated
Jan 24, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior AnalystBH005401PAYes

Practice location

1814 Mower St
Philadelphia, PA 19152-1117

Phone 267-242-6287

Mailing address

1814 Mower St
Philadelphia, PA 19152-1117

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