NPI 1124632195

Samuel Igbafe

Practitioner Behavior Technician Lakewood, NJ

Practice location

Address: 685 River Ave, Lakewood, NJ 08701-5288
Phone: (888) 400-7342
Fax: (732) 534-8629
Mailing address: 4292 Marly Garden Ln APT 404, Fairfax, VA 22033-6409

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-20-123715 (VA)

Other Behavior Technician providers in New Jersey →

Registry record

NPI: 1124632195
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Sep 2020
Record last updated: 7 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.