Provider Demographics
NPI:1760272850
Name:SIDIBE, FRANCK AYOUBA
Entity type:Individual
Prefix:
First Name:FRANCK
Middle Name:AYOUBA
Last Name:SIDIBE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:254 DUANE ST
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07050-4111
Mailing Address - Country:US
Mailing Address - Phone:425-319-9695
Mailing Address - Fax:425-319-9695
Practice Address - Street 1:254 DUANE ST
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07050-4111
Practice Address - Country:US
Practice Address - Phone:425-319-9695
Practice Address - Fax:425-319-9695
Is Sole Proprietor?:No
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst