Individual
ADEBOWALE PETER ADESANYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7105 GALEN DR W, AVON, IN 46123-8450
(317) 856-5201
Mailing address
7105 GALEN DR W, AVON, IN 46123-8450
(317) 856-5201
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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