Shodeinde, Khadijat Morenike Ibukun
Shodeinde, Khadijat Morenike Ibukun is an individual health care provider with primary practice located at 11200 Waples Mill Rd Unit 100 , Fairfax VA 22030. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Shodeinde, Khadijat Morenike Ibukun can be contacted via phone (703) 237-2219.Contact Information
Primary practice address
11200 Waples Mill Rd Unit 100
Fairfax VA 22030
Phone: (703) 237-2219
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1104502970 |
|---|---|
| LBN Legal business name | Shodeinde, Khadijat Morenike Ibukun |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2023 |
| Last updated | Jun 26th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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