Individual
TOYIA EZEOKAFOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
4625 NICOLS RD STE 104, EAGAN, MN 55122-2307
(952) 456-1639
Mailing address
4625 NICOLS RD STE 104, EAGAN, MN 55122-2307
(952) 456-1639
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84-4274828
—
MN
05
—
SS
—
IL
Enumeration date
02/28/2023
Last updated
02/28/2023
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