Iyanu Kofoworade, RBT

NPI #1487369823 in Hampton, Georgia

Provider Information

NPI Number: 1487369823
Entity Type: Individual
Name: Iyanu Kofoworade, RBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Jan 19, 2023
Last Updated: Jan 19, 2023

Practice Location

Address: 10744 MISTY MEADOWS CT
City: Hampton
State: Georgia
ZIP Code: 30228-6187
Phone: (678) 702-3117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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