Individual
MADU CASIMIR OHANENYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7629 WOODCREST AVE, PHILADELPHIA, PA 19151-2703
(267) 471-1997
Mailing address
7629 WOODCREST AVE, PHILADELPHIA, PA 19151-2703
(267) 471-1997
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH001917
PA
Other
Enumeration date
10/25/2014
Last updated
10/25/2014
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