Provider Demographics
NPI:1265312839
Name:OYELEKE, IKIMAT OYINDAMOLA
Entity type:Individual
Prefix:
First Name:IKIMAT
Middle Name:OYINDAMOLA
Last Name:OYELEKE
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 1:3121 RTE 22 E STE 303
Mailing Address - Street 2:
Mailing Address - City:BRANCHBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-3559
Mailing Address - Country:US
Mailing Address - Phone:908-855-7089
Mailing Address - Fax:
Practice Address - Street 1:3121 RTE 22 E STE 303
Practice Address - Street 2:
Practice Address - City:BRANCHBURG
Practice Address - State:NJ
Practice Address - Zip Code:08876-3559
Practice Address - Country:US
Practice Address - Phone:908-855-7089
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-04
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0-25-442335106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Single Specialty