Emmanuel Dotun Bamgbose
Behavior Technician in Irving, TX. Individual provider (NPI-1).
NPI number1619861663
StatusActive
Last updated in NPPESJun 4, 2025
Details
- NPI
- 1619861663
- Entity type
- Individual (NPI-1)
- Name
- Mr. Emmanuel Dotun Bamgbose
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2025
- Certification date
- Jun 4, 2025
- Last updated
- Jun 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-24-387164 | – | Yes |
Practice location
320 Decker DrIrving, TX 75062-3999
Phone 855-832-6727
Mailing address
7108 S Kanner HwyStuart, FL 34997-7462
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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