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NPI Code Detail

MEDICARE: BLAIR AGBATAEKWE-RICHMOND

MEDICARE: BLAIR AGBATAEKWE-RICHMOND
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 Technician

General Provider Information

NPI Number : 1083560221
Entity Type Code : Individual
Provider Name (Legal Business Name) : BLAIR AGBATAEKWE-RICHMOND
Provider Business Mailing Address
First Line : 14724 VENTURA BLVD STE 1105
Second Line :
City : SHERMAN OAKS
State : CA
Zip : 91403-3510
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 14724 VENTURA BLVD STE 1105
Second Line :
City : SHERMAN OAKS
State : CA
Zip : 91403-3510
Country : US
Telephone Number : 747-298-3480
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ BLAIR AGBATAEKWE-RICHMOND ” Practice Location

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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.

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