Provider Demographics
NPI:1215465810
Name:OGUAGHA, VICTORIA C (SPECIAL EDUCATOR)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:C
Last Name:OGUAGHA
Suffix:
Gender:F
Credentials:SPECIAL EDUCATOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 E 88TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-3943
Mailing Address - Country:US
Mailing Address - Phone:7186-495-5556
Mailing Address - Fax:
Practice Address - Street 1:317 ALBANY AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213-3575
Practice Address - Country:US
Practice Address - Phone:718-773-7311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-25
Last Update Date:2017-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
422680101174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist