Oluwakemi Odumeru

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

LBA1339 Issued in MD

Practice address

2000 Tower Oaks Blvd Ste 500
Rockville, MD 20852-4377

Phone

(301) 444-5001

NPI assigned

Jul 25, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Blue Gems ABA MD LLC

  • Behavior Analyst
  • Columbia, MD
  • NPI 1285206037
  NPD (past)

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1124541800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5312 WILEY ST",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207373045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 TOWER OAKS BLVD STE 500",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524377",
            "telephone_number": "301-444-5001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1651 Old Meadow Rd",
            "address_purpose": "LOCATION",
            "city": "Mc Lean",
            "state": "VA",
            "postal_code": "221024311",
            "country_code": "US",
            "telephone_number": "703-506-0123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODUMERU",
        "first_name": "OLUWAKEMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-25",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MD",
            "license": "LBA1339",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patience Odina, NP
• Chizara Odoemene
• Janya Odom-Meriweather
• Celestine Odukwe
• Divine Odumeru
• Sadeeq Odupeyin
• Rosemary Oduwusi
• Ibironke Oduyebo, M.D.
• Tamara Nicolette Oei, M.D.
• Frederick John Oeltjen, PH.D.

• Behavior Analyst in Rockville, MD
• Providers in Rockville, MD by specialty
• Behavior Analyst in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.