Temitope Adesina

Individual provider Active NPI Behavior Technician · Fullerton, CA

NPI 1487323440 · NPPES record last updated Sep 12, 2021

Key facts

NPI
1487323440
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
713 W Commonwealth Ave Ste C
Fullerton, CA 92832-1612
Phone
(714) 879-4274
Fax
(714) 879-2274
NPI assigned
Sep 12, 2021
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

713 W Commonwealth Ave Ste C
Fullerton, CA 92832-1612

Mailing address

713 W Commonwealth Ave
Fullerton, CA 92832-1612
Phone (714) 879-4274

Other providers in Fullerton, CA

All providers in Fullerton, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.