Olumide Akintomide

Individual provider Active NPI Behavior Technician · Duluth, GA

NPI 1154925592 · NPPES record last updated Nov 25, 2020

Key facts

NPI
1154925592
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
2810 Premiere Pkwy Ste 500
Duluth, GA 30097-8912
Phone
(844) 764-2309
NPI assigned
Nov 25, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

2810 Premiere Pkwy Ste 500
Duluth, GA 30097-8912

Mailing address

2810 Premiere Pkwy Ste 500
Duluth, GA 30097-8912

Other providers in Duluth, GA

All providers in Duluth, GA · Behavior Technician in Georgia

Sources for this page

Verify at the official NPI Registry.