NPI 1023625746 · live from the CMS NPI Registry
Omolara Akinola
Assistant Behavior Analyst in Black Jack, MO. National Provider Identifier 1023625746, active.
NPI record
| NPI | 1023625746 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Assistant Behavior Analyst 106E00000X |
| Practice location | 5243 Elk Trail Dr, Black Jack, MO 63033 |
| Practice phone | 314-556-5581 |
| Enumerated | September 27, 2020 |
| Last updated | September 27, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | — |
| Behavior Technician | 106S00000X | — |
| Assistant Behavior Analyst primary | 106E00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.