Miss. Adesuwa Phyllis Imade
Miss. Adesuwa Phyllis Imade is a Behavior Technician in Fort Worth, Texas. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
1751 River Run # 200Fort Worth, TX 76107-6644
Phone: (818) 345-2345
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1538633581 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 13, 2019 |
| Last updated in NPPES | January 13, 2019 |
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