Provider Demographics
NPI:1548002454
Name:OPOKU, CECILIA AMPA
Entity type:Individual
Prefix:
First Name:CECILIA
Middle Name:AMPA
Last Name:OPOKU
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 1:35 HERITAGE LN APT C6
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-1623
Mailing Address - Country:US
Mailing Address - Phone:774-232-2729
Mailing Address - Fax:
Practice Address - Street 1:35 HERITAGE LN APT C6
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-1623
Practice Address - Country:US
Practice Address - Phone:774-232-2729
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-11
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician