Provider Demographics
NPI:1346728151
Name:JENKINS, TAMEKA M (MSED, BS, AAS)
Entity Type:Individual
Prefix:
First Name:TAMEKA
Middle Name:M
Last Name:JENKINS
Suffix:
Gender:F
Credentials:MSED, BS, AAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89 RHODES AVE
Mailing Address - Street 2:
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-2910
Mailing Address - Country:US
Mailing Address - Phone:516-448-7655
Mailing Address - Fax:
Practice Address - Street 1:89 RHODES AVE
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-2910
Practice Address - Country:US
Practice Address - Phone:516-448-7655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-02
Last Update Date:2018-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician