Ifeoluwa Samuel Adeyemo
Behavior Technician in Laurel, MD. Individual provider (NPI-1).
NPI number1053230458
StatusActive
Last updated in NPPESJul 11, 2026
Details
- NPI
- 1053230458
- Entity type
- Individual (NPI-1)
- Name
- Ifeoluwa Samuel Adeyemo
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2026
- Certification date
- Jul 11, 2026
- Last updated
- Jul 11, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | MD | Yes |
Practice location
11571 Laurelwalk DrLaurel, MD 20708-3001
Phone 240-646-2801
Mailing address
11571 Laurelwalk DrLaurel, MD 20708-3001
Phone 240-646-2801
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