Oluchi Agamegwa

Individual provider Active NPI Behavior Technician · Cerritos, CA

NPI 1487516290 · NPPES record last updated Aug 31, 2026

Key facts

NPI
1487516290
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
12525 Bayberry Cir
Cerritos, CA 90703-7805
Phone
(562) 716-0074
NPI assigned
Dec 1, 2025
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
Student in an Organized Health Care Education/Training Program 390200000X CA

Addresses

Primary practice location

12525 Bayberry Cir
Cerritos, CA 90703-7805

Mailing address

3067 W Orange Ave
Anaheim, CA 92804-3156
Phone (714) 827-2440

Other providers in Cerritos, CA

All providers in Cerritos, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.