Individual provider · NPI-1
Omobolanle Agboke
Behavior Technician · Farmington Hills, MI
NPI number1831082809
StatusActive
Last updated in NPPESOct 17, 2025
Details
- NPI
- 1831082809
- Entity type
- Individual (NPI-1)
- Name
- Omobolanle Agboke
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 30, 2025
- Certification date
- Oct 17, 2025
- Last updated
- Oct 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
| 103K00000X | Behavior Analyst | – | – |
Practice location
27777 Inkster Rd Ste 100Farmington Hills, MI 48334-5312
Phone 248-579-5453
Mailing address
27777 Inkster Rd Ste 100Farmington Hills, MI 48334-5312
Phone 248-579-5453
Other practice locations
99 Grumman Ave
Newark, NJ 07112-2218
Newark, NJ 07112-2218
Phone 862-214-0542
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