Adefikayo Ajao

Individual provider Active NPI Behavior Technician · Hyde Park, MA

NPI 1992597355 · NPPES record last updated May 21, 2025

Key facts

NPI
1992597355
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1234 Hyde Park Ave
Hyde Park, MA 02136-2819
Phone
(617) 653-1946
NPI assigned
May 21, 2025
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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1234 Hyde Park Ave
Hyde Park, MA 02136-2819

Mailing address

1234 Hyde Park Ave
Hyde Park, MA 02136-2819

Other providers in Hyde Park, MA

All providers in Hyde Park, MA · Behavior Technician in Massachusetts

Sources for this page

Verify at the official NPI Registry.