Clement-John Ajayi

Individual provider Active NPI Behavior Technician · Apple Valley, CA

NPI 1285290205 · NPPES record last updated May 15, 2019

Key facts

NPI
1285290205
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
16070 Tuscola Rd Ste 101
Apple Valley, CA 92307-1691
Phone
(760) 242-4000
NPI assigned
May 15, 2019
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Corwin Urgent Care Center Past
since Jan 1, 2007
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X CA Yes

Addresses

Primary practice location

16070 Tuscola Rd Ste 101
Apple Valley, CA 92307-1691

Mailing address

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Phone (818) 345-2345

Other providers in Apple Valley, CA

All providers in Apple Valley, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.