Individual
ERIC ETONGWE ITOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
459CCB3
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70937973
DC ALLIANCE
—
Enumeration date
11/14/2018
Last updated
07/19/2023
Update your record
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