Provider Demographics
NPI:1043033608
Name:UKINAMEMEN, OLUWAPELUMI OSEMEN (RBT)
Entity type:Individual
Prefix:
First Name:OLUWAPELUMI
Middle Name:OSEMEN
Last Name:UKINAMEMEN
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24922 GRAND SAPPHIRE LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-3224
Mailing Address - Country:US
Mailing Address - Phone:718-483-4567
Mailing Address - Fax:
Practice Address - Street 1:8118 FRY RD STE 701
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-7850
Practice Address - Country:US
Practice Address - Phone:281-815-5033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRBT-24-369534106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician