Individual
OLUFISAYO ADEPEGBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7506 GEORGIA AVE NW, WASHINGTON, DC 20012-1608
(202) 291-6973
Mailing address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5312
(248) 299-0030
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
06/04/2012
Last updated
06/03/2021
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