Provider Demographics
NPI:1811689847
Name:BARRETT, AYANA RUKIYA
Entity type:Individual
Prefix:
First Name:AYANA
Middle Name:RUKIYA
Last Name:BARRETT
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 1:1533 ELLIS RD APT D206
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-6378
Mailing Address - Country:US
Mailing Address - Phone:202-602-8789
Mailing Address - Fax:
Practice Address - Street 1:1533 ELLIS RD APT D206
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-6378
Practice Address - Country:US
Practice Address - Phone:202-602-8789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-26
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician