Provider Demographics
NPI:1700371309
Name:AKINDURO, INGRID
Entity Type:Individual
Prefix:MS
First Name:INGRID
Middle Name:
Last Name:AKINDURO
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 1:13678 87TH ST N
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33412-2603
Mailing Address - Country:US
Mailing Address - Phone:954-934-6999
Mailing Address - Fax:
Practice Address - Street 1:13678 87TH ST N
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33412-2603
Practice Address - Country:US
Practice Address - Phone:954-934-2699
Practice Address - Fax:561-377-3650
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-26
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-20-45525103K00000X, 103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1225378870OtherAPPLIED BEHAVIORAL ANALYSIS (ABA) THERAPY SOLUTIONS, LLC