Provider Demographics
NPI:1497243042
Name:OKUWOBI, FRANK AYOKUNLE
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:AYOKUNLE
Last Name:OKUWOBI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:840 BARKSTON LN
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46122-0039
Mailing Address - Country:US
Mailing Address - Phone:774-272-3844
Mailing Address - Fax:
Practice Address - Street 1:840 BARKSTON LN
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:IN
Practice Address - Zip Code:46122-0039
Practice Address - Country:US
Practice Address - Phone:774-272-3844
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-30
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X, 174400000X
INRBT-24-361903106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No174400000XOther Service ProvidersSpecialist