Provider Demographics
NPI:1760278279
Name:OBANI, GLORIA ONYINYECHI
Entity type:Individual
Prefix:
First Name:GLORIA
Middle Name:ONYINYECHI
Last Name:OBANI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15155 RICHMOND AVE APT 910
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-1637
Mailing Address - Country:US
Mailing Address - Phone:713-550-0409
Mailing Address - Fax:713-550-0409
Practice Address - Street 1:5819 HIGHWAY 6 STE 360
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-4070
Practice Address - Country:US
Practice Address - Phone:832-514-3863
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-19
Last Update Date:2025-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician