Provider Demographics
NPI:1083040695
Name:OJO, ADENIKE O
Entity Type:Individual
Prefix:MRS
First Name:ADENIKE
Middle Name:O
Last Name:OJO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:724 S. MISSION
Mailing Address - Street 2:
Mailing Address - City:SAPULPA
Mailing Address - State:OK
Mailing Address - Zip Code:74066-4343
Mailing Address - Country:US
Mailing Address - Phone:918-248-4340
Mailing Address - Fax:918-298-0828
Practice Address - Street 1:724 S. MISSION
Practice Address - Street 2:
Practice Address - City:SAPULPA
Practice Address - State:OK
Practice Address - Zip Code:74066-4343
Practice Address - Country:US
Practice Address - Phone:918-248-4340
Practice Address - Fax:918-298-0828
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-16
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst