Provider Demographics
NPI:1972334548
Name:BARBER, TONDA CLAUDETTE
Entity type:Individual
Prefix:
First Name:TONDA
Middle Name:CLAUDETTE
Last Name:BARBER
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 1:133 SCHOLASTIC CT
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106-5093
Mailing Address - Country:US
Mailing Address - Phone:704-402-9674
Mailing Address - Fax:
Practice Address - Street 1:720 COLISEUM DR
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-5355
Practice Address - Country:US
Practice Address - Phone:704-402-9674
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-13
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician