Individual
OMOLARA RAJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBS
Contact information
Practice address
7458 RUSKIN RD, PHILADELPHIA, PA 19151-2924
(267) 261-9048
Mailing address
7458 RUSKIN RD, PHILADELPHIA, PA 19151-2924
(267) 261-9048
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH007565
PA
Other
Enumeration date
05/06/2025
Last updated
05/06/2025
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