OLUMIDE EDEMODU


Address: 2788 Defoors Ferry Rd Nw, Atlanta, GA 30318-2182
Phone: 6462510799

OLUMIDE EDEMODU (NPI# 1689083867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689083867
Entity Type Individual
Full Name OLUMIDE EDEMODU
Credential BCBA
Practice Address 2788 Defoors Ferry Rd Nw
Atlanta
GA 30318-2182
Mailing Address 2788 Defoors Ferry Rd Nw Apt 85
Atlanta
GA 30318-2150
Practice Telephone 6462510799
Mailing Telephone 6462510799
Enumeration Date 2014-08-12
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst 1-13-14409 Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
147 E Olive Ave, Monrovia, CA 910163407 8667278274

Office Location

Street Address 2788 DEFOORS FERRY RD NW
City ATLANTA
State GA
Zip Code 30318-2182

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215381850 Jacqueline Nichele Love Counselor 2788 Defoors Ferry Rd Nw, 43, Atlanta, GA 30318-2182 2016-04-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659970408 Laura N Gillespie Physician Assistant 1800 Howell Mill Rd., Suite 450, Atlanta, GA 30318 2020-10-22
1639793664 100 Percent Chiropractic Sberger LLC Chiropractor 2250 Marietta Blvd, Suite 303, Atlanta, GA 30318 2020-06-05
1326518945 Sharon Emancia Joseph Nurse Practitioner 1517 Whitehead Bluff Nw, Atlanta, GA 30318 2018-11-27
1124597646 Cindy Denise Oden Registered Nurse 1903 Drew Dr Nw, Apt 2200, Atlanta, GA 30318 2018-11-14
1558838052 Amanda Renee Wilson Social Worker 2118 Adams Overlook Nw, Atlanta, GA 30318 2018-11-01
1386135010 Missions Possible of Atlanta Day Program LLC. Counselor 805 Ayrshire Cir Nw, Atlanta, GA 30318 2018-05-29
1295254639 Danielle Olivia Jones Counselor 1391 Collier Road Nw, Apt 1304, Atlanta, GA 30318 2017-09-18
1104372317 Kera Baker Massage Therapist 1397 B Carroll Drive Nw, Atlanta, GA 30318 2016-08-28
1588015648 Meridian Corporate Healthcare of Georgia P C Clinic/Center 1000 Techwood Dr Nw, Atlanta, GA 30318 2016-06-29
1104286707 B Webb, Inc Specialist 1675 Lower Roswell Rd, Marietta, GA 30318 2016-02-25
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition]

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NPI Name Taxonomy Address Enumeration
1497355812 Unique Solutions Behavior Services Behavioral Analyst 4258 Holliday Rd, Atlanta, GA 30349-8849 2020-10-26
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1699381475 James E Faison Behavioral Analyst 2270 Dunwoody Xing, Apt B, Atlanta, GA 30338-7319 2020-09-17
1679188015 Soracha Orourke Behavioral Analyst 880 Glenwood Ave Se, Atlanta, GA 30316-1825 2020-09-12
1336753862 Megan Boucher Behavioral Analyst 5825 Glenridge Dr Ste 208, Atlanta, GA 30328-5387 2020-09-02
1346853975 Jessica Bernstein Behavioral Analyst 500 Vinington Court, Atlanta, GA 30350 2020-08-24
1003433491 Cross River Therapy Behavioral Analyst 3455 Peachtree Rd Ne Fl 5, Atlanta, GA 30326-3254 2020-07-01
1003436684 Hidden Talents Aba Behavioral Analyst 1312 Christmas Ln Ne, Atlanta, GA 30329-3508 2020-04-23
1316567688 The Beehavior Company, LLC. Behavioral Analyst 1660 Dekalb Ave Ne Ste 204, Atlanta, GA 30307-2190 2020-04-16
1831728039 Ga Sprout Mc 1 LLC Behavioral Analyst 400 W Peachtree St Nw Ste 4973, Atlanta, GA 30308-3536 2020-04-08
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Competitor

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City ATLANTA
Zip Code 30318

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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