MEDICARE: SAMUEL ADELEKE

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	:	1235096819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMUEL ADELEKE

Provider Business Mailing Address
First Line	:	1870 TRYON DR UNIT 5
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28303-6242
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11476 S APOPKA VINELAND RD STE 118
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32836-7006
Country	:	US
Telephone Number	:	407-955-4001
Fax Number	:

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

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/06/2026

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Directions to “ SAMUEL ADELEKE ” Practice Location

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