Provider Demographics
NPI:1114736717
Name:BABATUNDE, OLANIKE
Entity type:Individual
Prefix:
First Name:OLANIKE
Middle Name:
Last Name:BABATUNDE
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 1:53 EDGELY LN
Mailing Address - Street 2:
Mailing Address - City:WILLINGBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08046-2303
Mailing Address - Country:US
Mailing Address - Phone:609-600-4906
Mailing Address - Fax:
Practice Address - Street 1:112 WILDFLOWER PL
Practice Address - Street 2:
Practice Address - City:DELRAN
Practice Address - State:NJ
Practice Address - Zip Code:08075-2874
Practice Address - Country:US
Practice Address - Phone:908-308-4645
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitation