Provider Demographics
NPI:1023906757
Name:CHIOMA NDALLA
Entity type:Organization
Organization Name:CHIOMA NDALLA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:CHIOMA
Authorized Official - Middle Name:
Authorized Official - Last Name:NDALLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-265-7459
Mailing Address - Street 1:1007 DOCK ST
Mailing Address - Street 2:
Mailing Address - City:MILLVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08332-2838
Mailing Address - Country:US
Mailing Address - Phone:856-265-7459
Mailing Address - Fax:
Practice Address - Street 1:629 E WOOD ST STE 205
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-3752
Practice Address - Country:US
Practice Address - Phone:856-839-0881
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty