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NPI Code Detail

MEDICARE: OLUMAYOWA ADEDOYIN ADEBAYO

MEDICARE: OLUMAYOWA ADEDOYIN ADEBAYO
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 TechnicianRBT-20-145807TX

General Provider Information

NPI Number : 1538765268
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLUMAYOWA ADEDOYIN ADEBAYO
Provider Business Mailing Address
First Line : 24124 CINCO VILLAGE CENTER BLVD STE 200
Second Line :
City : KATY
State : TX
Zip : 77494-8389
Country : US
Telephone Number : 832-263-6634
Fax Number :
Provider Business Practice Location Address
First Line : 24124 CINCO VILLAGE CENTER BLVD STE 200
Second Line :
City : KATY
State : TX
Zip : 77494-8389
Country : US
Telephone Number : 832-263-6634
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2020
Last Update Date : 12/08/2020

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1043829039 — JAYDEN N JOSEPH
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Directions to “ OLUMAYOWA ADEDOYIN ADEBAYO ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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