Olutobi Idowu, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

2654 Issued in TX

Practice address

4011 Yale Square CT
Katy, TX 77449-2097

Phone

(832) 352-8463

NPI assigned

Jan 9, 2019

Last updated

Jun 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tobi Idowu Other name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Safe Haven Home Health Care LLC

  dba Safe Haven Home Health Agency

  • Home Health Agency
  • Katy, TX
  • NPI 1942138169
  NPD Authorized official
• Bridging Behavior ABA LLC

  dba Bridging Behavior ABA

  • Behavior Analyst
  • Katy, TX
  • NPI 1598647612
  NPD

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1316410590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 YALE SQUARE CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774492097",
            "telephone_number": "832-352-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 YALE SQUARE CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774492097",
            "telephone_number": "832-352-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDOWU",
        "first_name": "OLUTOBI",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-09",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "2654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TOBI",
            "last_name": "IDOWU",
            "credential": "BCBA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ideal Sleep & Diagnostics LLC
• Ideal View Eyecare PLLC
• Helen Idemudia, PHARMD
• David Idowu
• Itode N Idowu, PHARM D
• Benedict Ifedi, M.D.
• Ifocus Vision LLC
• Vivian Igboalisi
• Ignite Medical Resort Katy LLC
• Ignite Medical Resort Katy LLC

• Behavior Analyst in Katy, TX
• Providers in Katy, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.