Provider Demographics
NPI:1760280010
Name:AKINMADE, FELIX TUNDE
Entity type:Individual
Prefix:
First Name:FELIX
Middle Name:TUNDE
Last Name:AKINMADE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6935 SABLECLIFF WAY
Mailing Address - Street 2:
Mailing Address - City:BROWNSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:46112-7022
Mailing Address - Country:US
Mailing Address - Phone:765-631-3722
Mailing Address - Fax:
Practice Address - Street 1:14726 BANCROFT DR
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:IN
Practice Address - Zip Code:46074-7581
Practice Address - Country:US
Practice Address - Phone:732-714-5226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician