MEDICARE: MS. INGRID AKINDURO

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	1-20-45525	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700371309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. INGRID AKINDURO

Provider Business Mailing Address
First Line	:	13678 87TH ST N
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33412-2603
Country	:	US
Telephone Number	:	954-934-6999
Fax Number	:

Provider Business Practice Location Address
First Line	:	13678 87TH ST N
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33412-2603
Country	:	US
Telephone Number	:	954-934-2699
Fax Number	:	561-377-3650

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

Provider Enumeration Date	:	06/26/2018
Last Update Date	:	10/20/2023

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