MEDICARE: TYLAN OLAMIJU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1558085837
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TYLAN OLAMIJU

Provider Business Mailing Address
First Line	:	7108 S KANNER HWY
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34997-7462
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7016 CRABAPPLE LN APT 8
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64129-2494
Country	:	US
Telephone Number	:	816-510-2810
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2022
Last Update Date	:	09/29/2022

Similar Medicare Providers

1871614453 — THERESA J LEINWEBER MFT
Practice Location Address:

12402 VENTURA BLVD., 2ND FLOOR
STUDIO CITY, CA
91604-2494

Practice Phone: 818-426-3311
Practice Fax: 818-699-1256

1558562140 — DR. MARVIN PORTER ED.D
Practice Location Address:

1011 GRACE AVE
PANAMA CITY, FL
32401-2494

Practice Phone: 850-784-7888
Practice Fax: 850-387-1445

1659572253 — ALL-N-ONE THERAPY, INC
Practice Location Address:

1011 GRACE AVE
PANAMA CITY, FL
32401-2494

Practice Phone: 850-784-7888
Practice Fax: 850-387-1445

1942538996 — EXCEPTIONAL BEHAVIOR
Practice Location Address:

1015B GRACE AVE
PANAMA CITY, FL
32401-2494

Practice Phone: 850-215-6441
Practice Fax: 850-215-6457

1144513243 — RESCARE FLORIDA, INC.
Practice Location Address:

1015 GRACE AVE , STE C
PANAMA CITY, FL
32401-2494

Practice Phone: 850-872-9044
Practice Fax:

1821476888 — ANGEL HOUSE BEREAVEMENT CENTER
Practice Location Address:

1015 GRACE AVE , UNIT C
PANAMA CITY, FL
32401-2494

Practice Phone: 850-257-5036
Practice Fax:

Directions to “ TYLAN OLAMIJU ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.