Funmilayo Ajulo-Harris
Individual provider Active NPI Behavior Analyst · Norristown, PA
NPI 1740970508 · NPPES record last updated May 18, 2023
Key facts
- NPI
- 1740970508
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- BH006199 (PA)
- Practice address
- 1622 Tremont Ave
Norristown, PA 19401-3527 - Phone
- (484) 751-3246
- NPI assigned
- May 15, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BH006199 | PA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elwyn of Pennsylvania and Delaware | Behavior Analyst | Past | Accepting new patients |
| Elwyn of Pennsylvania and Delaware | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BH006199 | PA | Yes |
Addresses
Primary practice location
1622 Tremont Ave
Norristown, PA 19401-3527
Mailing address
1622 Tremont Ave
Norristown, PA 19401-3527
Phone (484) 751-3246
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2023. 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.