Provider Demographics
NPI:1487228391
Name:WRIGHT-TOBIAS, SYNEATHEA JANE'T
Entity Type:Individual
Prefix:MRS
First Name:SYNEATHEA
Middle Name:JANE'T
Last Name:WRIGHT-TOBIAS
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:SYNEATHEA
Other - Middle Name:JANE'T
Other - Last Name:WRIGHT-TOBIAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:21724 138TH RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11413-2608
Mailing Address - Country:US
Mailing Address - Phone:347-277-9676
Mailing Address - Fax:
Practice Address - Street 1:21724 138TH RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11413-2608
Practice Address - Country:US
Practice Address - Phone:347-277-9676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-14
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst