Bolaji Adepeko

Individual provider Active NPI Behavior Technician · Boca Raton, FL

NPI 1669250528 · NPPES record last updated Jul 10, 2024

Key facts

NPI
1669250528
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
9970 S. Central Park Boulevard. Suite 401
Boca Raton, FL 33428
Phone
(305) 807-1909
NPI assigned
Sep 20, 2023
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

9970 S. Central Park Boulevard. Suite 401
Boca Raton, FL 33428

Mailing address

2405 NW 33Rd St Apt 1213
Oakland Park, FL 33309-6465

Other practice location 1

1001 W Cypress Creek Rd Ste 120
Fort Lauderdale, FL 33309-1947
Phone (855) 832-6727

Other providers in Boca Raton, FL

All providers in Boca Raton, FL · Behavior Technician in Florida

Sources for this page

Verify at the official NPI Registry.