Bolaji Adesiji

NPI #1558041095 in Locust Grove, Georgia

Provider Information

NPI Number: 1558041095
Entity Type: Individual
Name: Bolaji Adesiji
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 19, 2023
Last Updated: Jul 19, 2023

Practice Location

Address: 1245 BIG POPLAR WAY
City: Locust Grove
State: Georgia
ZIP Code: 30248-7241
Phone: (763) 269-9298

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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