Oyinlola Agboola
Individual provider Active NPI Behavior Analyst · Acworth, GA
NPI 1902496797 · NPPES record last updated Oct 6, 2025
Key facts
- NPI
- 1902496797
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-25-84477 (GA)
- Practice address
- 616 Mistflower Dr NW
Acworth, GA 30102-6934 - Phone
- (770) 790-7629
- NPI assigned
- Jan 25, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 Analyst | 103K00000X | 1-25-84477 | GA | Yes |
Addresses
Primary practice location
616 Mistflower Dr NW
Acworth, GA 30102-6934
Mailing address
616 Mistflower Dr NW
Acworth, GA 30102-6934
Phone (770) 790-7629
Other providers in Acworth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 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.