Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth Nozaa Udo

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1477033223

Kenneth Nozaa Udo is a Student in an Organized Health Care Education/Training Program in Fairfield, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2018
Specialties on file
3

Practice location Address checks out

345 E Travis Blvd
Fairfield, CA 94533-3958
Phone: (800) 249-4961
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1234 Empire St Ste 1500, Fairfield, CA 94533-5711 — (707) 913-7236

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 123148 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1477033223
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 20, 2018
Last updated in NPPESJune 5, 2025
Certification dateMay 15, 2025
Mailing address345 E Travis Blvd, Fairfield, CA 94533-3958

Other providers in Fairfield