Provider Demographics
NPI:1285054585
Name:MCDUFFIE, TARNEKA (MS SPED)
Entity type:Individual
Prefix:
First Name:TARNEKA
Middle Name:
Last Name:MCDUFFIE
Suffix:
Gender:F
Credentials:MS SPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 SAINT JAMES PL APT 9J
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-1227
Mailing Address - Country:US
Mailing Address - Phone:646-770-6432
Mailing Address - Fax:
Practice Address - Street 1:7 SAINT JAMES PL APT 9J
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-1227
Practice Address - Country:US
Practice Address - Phone:646-770-6432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-24
Last Update Date:2014-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst