Provider Demographics
NPI:1386120186
Name:OKOYE, NWANNEKA E (MSED - SPECIAL ED)
Entity type:Individual
Prefix:
First Name:NWANNEKA
Middle Name:E
Last Name:OKOYE
Suffix:
Gender:F
Credentials:MSED - SPECIAL ED
Other - Prefix:
Other - First Name:NWANNEKA
Other - Middle Name:E
Other - Last Name:OKOYE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSED - SCHOOL PSYC
Mailing Address - Street 1:15813 72ND AVE
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11365-1140
Mailing Address - Country:US
Mailing Address - Phone:718-360-7600
Mailing Address - Fax:718-380-6675
Practice Address - Street 1:15813 72ND AVE
Practice Address - Street 2:
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11365-1140
Practice Address - Country:US
Practice Address - Phone:718-380-7600
Practice Address - Fax:718-380-6675
Is Sole Proprietor?:No
Enumeration Date:2018-07-14
Last Update Date:2018-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY531701041103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst