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Faosiyah Ibukun Omolekan

Behavior Technician in Anaheim, CA. Individual provider (NPI-1).

NPI number1104635283
StatusActive
Last updated in NPPESJan 3, 2025

Details

NPI
1104635283
Entity type
Individual (NPI-1)
Name
Faosiyah Ibukun Omolekan
Sex
Female
Sole proprietor
No
Enumeration date
Jan 3, 2025
Certification date
Jan 3, 2025
Last updated
Jan 3, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–MDYes

Practice location

1301 E Orangewood Ave
Anaheim, CA 92805-6807

Phone 800-249-1266

Mailing address

16108 Pond Meadow Ln
Bowie, MD 20716-1849

Phone 667-355-3488

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