Provider Demographics
NPI:1710877485
Name:MORRIS, NATHIFA HADIYA
Entity type:Individual
Prefix:MS
First Name:NATHIFA
Middle Name:HADIYA
Last Name:MORRIS
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 1:10567 FLATLANDS 4TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-4633
Mailing Address - Country:US
Mailing Address - Phone:917-200-7960
Mailing Address - Fax:
Practice Address - Street 1:10567 FLATLANDS 4TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-4633
Practice Address - Country:US
Practice Address - Phone:917-200-7960
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-05
Last Update Date:2025-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY103K00000X
NY1916147251103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst