Individual
SHADIAT OGUNSAKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 PENNSYLVANIA AVE SE STE 201, WASHINGTON, DC 20003-2152
(202) 546-1512
Mailing address
9005 BYARD CT, SPRINGDALE, MD 20774-2572
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/30/2020
Last updated
03/27/2023
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