Adefisan, Temilolu

Adefisan, Temilolu is an individual health care provider with primary practice located at 400 E Pratt St , Baltimore MD 21202-3116. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Adefisan, Temilolu can be contacted via phone (866) 586-4861.

Contact Information

Primary practice address
400 E Pratt St Baltimore MD 21202-3116
Fax:
Website:

Health care specialties

Profile Details

NPI number 1124610415
LBN Legal business name Adefisan, Temilolu
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2021
Last updated Aug 20th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124610415 NPPES
Other RBT-21-163102 RBT CERTIFICATION

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