Adeniyi, Olamide

Adeniyi, Olamide is an individual health care provider with primary practice located at 17563 W Maricopa St , Goodyear AZ 85338-4702. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Adeniyi, Olamide can be contacted via phone (480) 465-6259.

Contact Information

Primary practice address
17563 W Maricopa St Goodyear AZ 85338-4702
Phone: (480) 465-6259
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1518634120
LBN Legal business name Adeniyi, Olamide
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2021
Last updated Nov 13th, 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 1518634120 NPPES
Arizona MEDICAID 863613968

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