MEDICARE: MOJISOLA AGBEBI

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	103K00000X	Behavior Analyst
2	106S00000X	Behavior Technician
3	104100000X	Social Worker

General Provider Information

NPI Number	:	1134787328
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOJISOLA AGBEBI

Provider Business Mailing Address
First Line	:	8609 2ND AVE STE 506B
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-3362
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8609 2ND AVE
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-3360
Country	:	US
Telephone Number	:	301-398-3514
Fax Number	:

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

Provider Enumeration Date	:	06/03/2019
Last Update Date	:	05/18/2026

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Directions to “ MOJISOLA AGBEBI ” Practice Location

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