Provider Demographics
NPI:1326465782
Name:WEBB, AYANNA (MA, MSED)
Entity Type:Individual
Prefix:MISS
First Name:AYANNA
Middle Name:
Last Name:WEBB
Suffix:
Gender:F
Credentials:MA, MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118-41 154TH STREET
Mailing Address - Street 2:
Mailing Address - City:JAMICA
Mailing Address - State:NY
Mailing Address - Zip Code:11434-3513
Mailing Address - Country:US
Mailing Address - Phone:347-581-5630
Mailing Address - Fax:
Practice Address - Street 1:255 WYONA ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11207-3513
Practice Address - Country:US
Practice Address - Phone:347-581-5630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst