Provider Demographics
NPI:1043538945
Name:WEATHERS, SINIA TORI
Entity Type:Individual
Prefix:MS
First Name:SINIA
Middle Name:TORI
Last Name:WEATHERS
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 1:1343 WASHINGTON AVE
Mailing Address - Street 2:APT 7B
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10456-2003
Mailing Address - Country:US
Mailing Address - Phone:718-538-4378
Mailing Address - Fax:
Practice Address - Street 1:1343 WASHINGTON AVE
Practice Address - Street 2:APT 7B
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10456-2003
Practice Address - Country:US
Practice Address - Phone:718-538-4378
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-17
Last Update Date:2010-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst