Provider Demographics
NPI:1346019650
Name:BOOKAL-SATCHWELL, TANYA JANELLE
Entity Type:Individual
Prefix:MRS
First Name:TANYA
Middle Name:JANELLE
Last Name:BOOKAL-SATCHWELL
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 1:1413 TECH BLVD STE 122
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33619-7822
Mailing Address - Country:US
Mailing Address - Phone:813-305-2867
Mailing Address - Fax:
Practice Address - Street 1:2219 E CAYUGA ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33610-6218
Practice Address - Country:US
Practice Address - Phone:954-865-6463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-28
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician