Monsurat Modupe Ladejobi

NPI #1013490903 in Melville, New York

Provider Information

NPI Number: 1013490903
Entity Type: Individual
Name: Monsurat Modupe Ladejobi
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Sep 7, 2018
Last Updated: Sep 20, 2018

Practice Location

Address: 225 BROADHOLLOW RD STE 402
City: Melville
State: New York
ZIP Code: 11747-4899
Phone: (631) 385-7780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Early Intervention Provider Agency	252Y00000X
Behavior Technician	106S00000X	Primary

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