Olamide Azeezat Jinadu

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BACB1322820 Issued in GA

Practice address

400 Lake Dow Rd
McDonough, GA 30252-2926

Phone

(646) 420-6837

NPI assigned

Jul 25, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1083596308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7586 GARNET DR",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302364612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LAKE DOW RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302522926",
            "telephone_number": "646-420-6837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JINADU",
        "first_name": "OLAMIDE",
        "middle_name": "AZEEZAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-25",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "BACB1322820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakeisha Jenkins, DNP, FNP-C, PMHNP
• Shatrece Jenkins
• Dante Lamar Jennings
• Jestia Pathways LLC
• Lisa Jewell
• Hannah Jodan
• Angela Denise Johnson, ASSOC DEGREE IN NURS
• Brandon Rashad Johnson
• Brent David Johnson, DMD
• Cameron Alexander Johnson, DPT

• Behavior Technician in McDonough, GA
• Providers in McDonough, GA by specialty
• Behavior Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.