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NPI Code Detail

MEDICARE: MORGAN ALEXIS OKUNDAYE

MEDICARE: MORGAN ALEXIS OKUNDAYE
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
1106S00000XBehavior TechnicianRBT-25-463816GA

General Provider Information

NPI Number : 1952264095
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORGAN ALEXIS OKUNDAYE
Provider Business Mailing Address
First Line : 3750 PAUL ST
Second Line :
City : DOUGLASVILLE
State : GA
Zip : 30135-1318
Country : US
Telephone Number : 678-457-4630
Fax Number :
Provider Business Practice Location Address
First Line : 2651 DALLAS HWY SW
Second Line :
City : MARIETTA
State : GA
Zip : 30064-2541
Country : US
Telephone Number : 470-704-8882
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2025
Last Update Date : 12/05/2025

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Directions to “ MORGAN ALEXIS OKUNDAYE ” Practice Location

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