Owusu Agyeman
Individual provider Active NPI Behavior Technician · Riverbank, CA
NPI 1508660937 · NPPES record last updated Apr 3, 2025
Key facts
- NPI
- 1508660937
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 5501 Antique Rose Way
Riverbank, CA 95367-9505 - Phone
- (833) 599-2560
- NPI assigned
- Apr 3, 2025
- Sex
- Male
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
5501 Antique Rose Way
Riverbank, CA 95367-9505
Mailing address
850 Towbin Ave
Lakewood, NJ 08701-5928
Phone (833) 599-2560
Other providers in Riverbank, CA
- Michelle Aguilar Valdovinos
- Abel Lee Aguilera
- Keydi Aguilera
- Angelina Aguirre Diaz
- Gizelle Adina Aguirre
- Jasskiran Ahluwalia
- Zafira Ahmed
- Tatyona Aikens
- Mariam Alaskari
- Giovoni Alberto
All providers in Riverbank, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.