Individual
VINCENT EZENWA DURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, BCBA
Contact information
Practice address
399 HOSPITAL LN, TERRE HAUTE, IN 47802-4394
(812) 645-2308
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-59222
IN
103K00000X
Behavior Analyst
—
—
172V00000X
Community Health Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-22-59222
BCBA CERT
—
01
—
172V00000X
COMMUNITY HEALTH WORKER
CA
Enumeration date
01/09/2013
Last updated
07/02/2025
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