Provider Demographics
NPI:1356213573
Name:IKE, JOSEPH CHIBUIKE
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:CHIBUIKE
Last Name:IKE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7305 KRUME CT APT 1337
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-3892
Mailing Address - Country:US
Mailing Address - Phone:919-504-4171
Mailing Address - Fax:919-516-0613
Practice Address - Street 1:1600 HILLSBOROUGH ST
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27605-1639
Practice Address - Country:US
Practice Address - Phone:919-504-4171
Practice Address - Fax:919-516-0163
Is Sole Proprietor?:No
Enumeration Date:2025-09-18
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst