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NPI Code Detail

MEDICARE: JUDAH FEMI-OGUNYEMI

MEDICARE: JUDAH FEMI-OGUNYEMI
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 : 1538093943
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUDAH FEMI-OGUNYEMI
Provider Business Mailing Address
First Line : 16414 SOUTHPARK DR
Second Line :
City : WESTFIELD
State : IN
Zip : 46074-8396
Country : US
Telephone Number : 317-584-5166
Fax Number : 317-815-3861
Provider Business Practice Location Address
First Line : 5250 E US HIGHWAY 36 STE 630
Second Line :
City : AVON
State : IN
Zip : 46123-9771
Country : US
Telephone Number : 317-584-5166
Fax Number : 317-815-3861
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2026
Last Update Date : 06/10/2026

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Directions to “ JUDAH FEMI-OGUNYEMI ” Practice Location

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