Provider Demographics
NPI:1689473845
Name:PIUS, OLUFUNKE (RBT)
Entity type:Individual
Prefix:
First Name:OLUFUNKE
Middle Name:
Last Name:PIUS
Suffix:
Gender:
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2418 NINEBARK DR
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46168-4905
Mailing Address - Country:US
Mailing Address - Phone:317-654-6359
Mailing Address - Fax:
Practice Address - Street 1:1599 TOWNSHIP LINE RD
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IN
Practice Address - Zip Code:46168-7517
Practice Address - Country:US
Practice Address - Phone:317-914-3176
Practice Address - Fax:844-742-6592
Is Sole Proprietor?:No
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INRBT25418011106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician