Individual provider · NPI-1

Opoku Boateng

Behavior Technician · Newark, NJ

NPI number1972390425
StatusActive
Last updated in NPPESApr 21, 2025

Details

NPI
1972390425
Entity type
Individual (NPI-1)
Name
Opoku Boateng
Sex
Male
Sole proprietor
No
Enumeration date
Apr 21, 2025
Certification date
Apr 20, 2025
Last updated
Apr 21, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

151 7th Ave
Newark, NJ 07104-1806

Phone 973-434-5081

Mailing address

511 S Orange Ave
Newark, NJ 07103-1342

Phone 973-434-5081

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