Individual
ADEMOLA OLORUNNISOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 MOORE DR, BETHPAGE, NY 11714-5510
(516) 708-6707
Mailing address
30 MOORE DR, BETHPAGE, NY 11714-5510
(516) 708-6707
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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