Kofoworola Olajumoke Abegunde

Individual provider Active NPI Behavior Technician · Hunt Valley, MD

NPI 1316445786 · NPPES record last updated Jan 31, 2018

Key facts

NPI
1316445786
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
201 International Cir
Hunt Valley, MD 21030-1304
Phone
(866) 287-2036
NPI assigned
Jan 31, 2018
Sex
Female
Sole proprietor
No

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

201 International Cir
Hunt Valley, MD 21030-1304

Mailing address

8865 Norwin Ave Ste 27
North Huntingdon, PA 15642-2769
Phone (724) 263-1805

Other providers in Hunt Valley, MD

All providers in Hunt Valley, MD · Behavior Technician in Maryland

Sources for this page

Verify at the official NPI Registry.