Adesewa Alade

Individual provider Active NPI Behavior Technician · Henrico, VA

NPI 1831739747 · NPPES record last updated Jan 8, 2020

Key facts

NPI
1831739747
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
9351 W Broad St
Henrico, VA 23294-5437
Phone
(804) 592-3275
Fax
(866) 266-1043
NPI assigned
Jan 8, 2020
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

9351 W Broad St
Henrico, VA 23294-5437

Mailing address

9351 W Broad St
Henrico, VA 23294-5437
Phone (804) 592-3275

Other providers in Henrico, VA

All providers in Henrico, VA · Behavior Technician in Virginia

Sources for this page

Verify at the official NPI Registry.