Individual
OLUFEMI SAMUEL AKINADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
206 GUMBERRY LN, MOCKSVILLE, NC 27028-5306
(336) 926-9628
Mailing address
206 GUMBERRY LN, MOCKSVILLE, NC 27028-5306
(336) 926-9628
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-24-74905
NC
106S00000X
Behavior Technician
—
—
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/30/2019
Last updated
03/28/2026
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