MEDICARE: CALEB OFORI

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	103K00000X	Behavior Analyst		GA
2	103K00000X	Behavior Analyst	1-22-59661	OK

General Provider Information

NPI Number	:	1295192177
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CALEB OFORI

Provider Business Mailing Address
First Line	:	6268 SELBORN DR SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30331-9407
Country	:	US
Telephone Number	:	404-759-0520
Fax Number	:

Provider Business Practice Location Address
First Line	:	6268 SELBORN DR SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30331-9407
Country	:	US
Telephone Number	:	404-759-0520
Fax Number	:

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

Provider Enumeration Date	:	01/22/2016
Last Update Date	:	12/18/2025

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Directions to “ CALEB OFORI ” Practice Location

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