Active NPI
Ololade G Ogedengbe
- Behavior Technician
- Queen Creek, AZ
National Provider Identifier
1417875733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- -RBT-26-2827074
- Practice address
- 19063 E Aubrey Glen Rd
Queen Creek, AZ 85142-0379 - Phone
- (336) 210-8670
- NPI assigned
- Jul 6, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | -RBT-26-2827074 | AZ | Primary |
Addresses
Primary practice location
19063 E Aubrey Glen Rd
Queen Creek, AZ 85142-0379
Mailing address
19063 E Aubrey Glen Rd
Queen Creek, AZ 85142-0379
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783296000000",
"number": "1417875733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19063 E AUBREY GLEN RD",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851420379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19063 E AUBREY GLEN RD",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851420379",
"telephone_number": "336-210-8670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGEDENGBE",
"first_name": "OLOLADE",
"middle_name": "G",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-06",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "AZ",
"license": "-RBT-26-2827074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Queen Creek, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.