Provider Demographics
NPI:1003682675
Name:BARRETT, NATAJAH (EKG)
Entity Type:Individual
Prefix:
First Name:NATAJAH
Middle Name:
Last Name:BARRETT
Suffix:
Gender:F
Credentials:EKG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2321 ADAMS ST APT 14
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-5342
Mailing Address - Country:US
Mailing Address - Phone:754-304-6434
Mailing Address - Fax:
Practice Address - Street 1:2321 ADAMS ST APT 14
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-5342
Practice Address - Country:US
Practice Address - Phone:754-304-6434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No2472E0500XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherEEG