Provider Demographics
NPI:1992448831
Name:TUGGLE, NAKIBA KATRINA (BA, BA)
Entity type:Individual
Prefix:
First Name:NAKIBA
Middle Name:KATRINA
Last Name:TUGGLE
Suffix:
Gender:F
Credentials:BA, BA
Other - Prefix:
Other - First Name:NAKIBA
Other - Middle Name:KATRINA
Other - Last Name:TUGGLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BA, BA
Mailing Address - Street 1:800 TUCKAHOE RD APT 2E
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-5221
Mailing Address - Country:US
Mailing Address - Phone:914-496-8976
Mailing Address - Fax:914-512-3062
Practice Address - Street 1:800 TUCKAHOE RD APT 2E
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-5221
Practice Address - Country:US
Practice Address - Phone:914-496-8976
Practice Address - Fax:914-512-3062
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-19
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician