Individual
IFEANYICHUKWU EJEZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6323 GEORGIA AVE NW STE 360, WASHINGTON, DC 20011-1101
(202) 621-8494
Mailing address
6323 GEORGIA AVE NW, WASHINGTON, DC 20011-1101
(202) 621-8494
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/09/2025
Last updated
03/16/2026
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