Oluseyi Adeagbo

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-23-306267 Issued in FL

Practice address

1803 Park Center Dr Ste 212
Orlando, FL 32835-6216

Phone

(407) 907-2077

NPI assigned

Oct 24, 2023

Sex

Male

Sole proprietor

No

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

Practice roles

Locations

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.

• Sunshine ABA Therapy Services LLC

  • Behavior Analyst
  • Eustis, FL
  • NPI 1487222949
  NPD

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1265204259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1347 POMPAY DR",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338968631",
            "telephone_number": "954-999-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 PARK CENTER DR STE 212",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328356216",
            "telephone_number": "407-907-2077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2243 North Blvd W",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "FL",
            "postal_code": "338378990",
            "country_code": "US",
            "telephone_number": "863-270-1339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADEAGBO",
        "first_name": "OLUSEYI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-24",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-23-306267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy O'Kelley Addis
• Hyacinth Fay Addison
• Rhiana Addison, CD
• Addmedhealth LLC
• Eric Alexander Addo, M.D.
• Tolulope Adesola Adebanjo, M.D.
• Mudassar Hayat Adeem, MD
• Adelcare
• Adelcare II, Inc
• Adelcare II, Inc

• Behavior Technician in Orlando, FL
• Providers in Orlando, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.