Provider Demographics
NPI:1689427718
Name:ADEYEYE, ADELEYE ADEYEMI
Entity Type:Individual
Prefix:
First Name:ADELEYE
Middle Name:ADEYEMI
Last Name:ADEYEYE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3475 OAK VALLEY RD NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30326-1220
Mailing Address - Country:US
Mailing Address - Phone:470-452-6251
Mailing Address - Fax:
Practice Address - Street 1:1385 HWY 35 # 284
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NJ
Practice Address - Zip Code:07748-2012
Practice Address - Country:US
Practice Address - Phone:470-452-6251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-09
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician