Individual
OLUMIDE EDEMODU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
2788 DEFOORS FERRY RD NW, ATLANTA, GA 30318-2182
(646) 251-0799
Mailing address
2788 DEFOORS FERRY RD NW APT 85, ATLANTA, GA 30318-2150
(646) 251-0799
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-14409
—
Other
Enumeration date
08/12/2014
Last updated
03/17/2018
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