Provider Demographics
NPI:1366683781
Name:ADEDIPE, HELLEN (BCBA)
Entity type:Individual
Prefix:
First Name:HELLEN
Middle Name:
Last Name:ADEDIPE
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1842 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-3549
Mailing Address - Country:US
Mailing Address - Phone:832-632-2177
Mailing Address - Fax:832-632-2177
Practice Address - Street 1:1842 W MAIN ST
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-3549
Practice Address - Country:US
Practice Address - Phone:832-632-2177
Practice Address - Fax:832-632-2177
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-14
Last Update Date:2009-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst