Provider Demographics
NPI:1003257270
Name:BORQUAYE, NAOMI N
Entity Type:Individual
Prefix:MS
First Name:NAOMI
Middle Name:N
Last Name:BORQUAYE
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 1:6216 SE 79TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73135-7006
Mailing Address - Country:US
Mailing Address - Phone:405-509-0893
Mailing Address - Fax:
Practice Address - Street 1:6216 SE 79TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73135-7006
Practice Address - Country:US
Practice Address - Phone:405-509-0893
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-16
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst