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NPI Code Detail

MEDICARE: MR. FRANK AYOKUNLE OKUWOBI BCBA

MEDICARE: MR. FRANK AYOKUNLE OKUWOBI BCBA
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
1103K00000XBehavior Analyst1-26-87985IN
2106S00000XBehavior TechnicianRBT-24-361903IN
3174400000XSpecialist

General Provider Information

NPI Number : 1497243042
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. FRANK AYOKUNLE OKUWOBI BCBA
Provider Business Mailing Address
First Line : 11979 FISHERS CROSSING DR
Second Line :
City : FISHERS
State : IN
Zip : 46038-2778
Country : US
Telephone Number : 317-918-2689
Fax Number : 317-973-0196
Provider Business Practice Location Address
First Line : 902 E MARKET ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-3825
Country : US
Telephone Number : 317-918-3056
Fax Number : 317-973-0196
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2018
Last Update Date : 05/14/2026

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