Active NPI
Dorcas Oluwaponmile Olowu
- Behavior Analyst
- Compton, CA
National Provider Identifier
1134811854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 1315 N Bullis Rd Ste 6
Compton, CA 90221-1662 - Phone
- (562) 506-7553
- NPI assigned
- May 22, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
1315 N Bullis Rd Ste 6
Compton, CA 90221-1662
Mailing address
1315 N Bullis Rd Ste 6
Compton, CA 90221-1662
Phone (562) 506-7553
Other practice location 1
1315 N Bullis Rd Ste 6
Compton, CA 90221-1662
Phone (562) 506-7553
Other names 1
- Dorcas O Funsoadebayo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684713600000",
"number": "1134811854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1315 N BULLIS RD STE 6",
"city": "COMPTON",
"state": "CA",
"postal_code": "902211662",
"telephone_number": "562-506-7553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 N BULLIS RD STE 6",
"city": "COMPTON",
"state": "CA",
"postal_code": "902211662",
"telephone_number": "562-506-7553"
}
],
"practiceLocations": [
{
"address_1": "1315 N Bullis Rd Ste 6",
"address_purpose": "LOCATION",
"city": "Compton",
"state": "CA",
"postal_code": "902211662",
"country_code": "US",
"telephone_number": "562-506-7553",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLOWU",
"first_name": "DORCAS",
"middle_name": "OLUWAPONMILE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-22",
"last_updated": "2023-05-22",
"certification_date": "2023-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DORCAS",
"last_name": "FUNSOADEBAYO",
"middle_name": "O",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Compton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.