NPI 1740845130 · live from the CMS NPI Registry
Omodara Ajose-Fisher
Behavior Analyst in Woodland Hills, CA. National Provider Identifier 1740845130, active.
NPI record
| NPI | 1740845130 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 21600 Oxnard St, Woodland Hills, CA 91367 |
| Practice phone | 818-345-2345 |
| Mailing address | 125 Ne 102nd Ave, Portland, OR 97220 |
| Enumerated | May 1, 2019 |
| Last updated | May 1, 2019 |
| Sole proprietor | No |
| Other names | Dara Ajose |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.