MEDICARE: DAYO M FANIMEHIN

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

General Provider Information

NPI Number	:	1972460061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAYO M FANIMEHIN

Provider Business Mailing Address
First Line	:	17926 SUNSHINE TRACE LN
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-2568
Country	:	US
Telephone Number	:	346-303-7812
Fax Number	:

Provider Business Practice Location Address
First Line	:	17926 SUNSHINE TRACE LN
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-2568
Country	:	US
Telephone Number	:	346-303-7812
Fax Number	:

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

Provider Enumeration Date	:	01/08/2026
Last Update Date	:	01/08/2026

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Directions to “ DAYO M FANIMEHIN ” Practice Location

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