Yetunde Ajibola Bisayo
Behavior Technician in Indianapolis, IN. Individual provider (NPI-1).
NPI number1235936634
StatusActive
Last updated in NPPESFeb 25, 2025
Details
- NPI
- 1235936634
- Entity type
- Individual (NPI-1)
- Name
- Yetunde Ajibola Bisayo
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 25, 2025
- Certification date
- Feb 25, 2025
- Last updated
- Feb 25, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-24-368867 | IN | Yes |
Practice location
6067 Decatur BlvdIndianapolis, IN 46241-9606
Phone 317-856-5201
Mailing address
6067 Decatur BlvdIndianapolis, IN 46241-9606
Phone 317-856-5201
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