Provider Demographics
NPI:1962151720
Name:OKEKE, NNEKA STELLA (RBT)
Entity type:Individual
Prefix:MS
First Name:NNEKA
Middle Name:STELLA
Last Name:OKEKE
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:MS
Other - First Name:NNEKA
Other - Middle Name:STELLA
Other - Last Name:OKEKE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RBT
Mailing Address - Street 1:19810 LARENTIA DR
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-1059
Mailing Address - Country:US
Mailing Address - Phone:240-888-7278
Mailing Address - Fax:
Practice Address - Street 1:19810 LARENTIA DR
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-1059
Practice Address - Country:US
Practice Address - Phone:240-888-7278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-21
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician