Individual
BOLAJI KOBRU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6067 DECATUR BLVD, INDIANAPOLIS, IN 46241-9606
(317) 856-5201
Mailing address
6067 DECATUR BLVD, INDIANAPOLIS, IN 46241-9606
(317) 317-8565
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
24351022
IN
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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