Provider Demographics
NPI:1063279354
Name:OLADEJI, BOLAJI JOEL
Entity type:Individual
Prefix:
First Name:BOLAJI
Middle Name:JOEL
Last Name:OLADEJI
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 1:288 SUNFLOWER LN
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-4576
Mailing Address - Country:US
Mailing Address - Phone:412-499-0631
Mailing Address - Fax:
Practice Address - Street 1:288 SUNFLOWER LN
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-4576
Practice Address - Country:US
Practice Address - Phone:412-499-0631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician