Provider Demographics
NPI:1205713336
Name:AZUBIKE, CHIDERA STACI
Entity type:Individual
Prefix:
First Name:CHIDERA
Middle Name:STACI
Last Name:AZUBIKE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 N CALVERT ST UNIT 603
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-3734
Mailing Address - Country:US
Mailing Address - Phone:240-733-5658
Mailing Address - Fax:
Practice Address - Street 1:123 HEARTH CT
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21212-1368
Practice Address - Country:US
Practice Address - Phone:240-733-5658
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst