Provider Demographics
NPI:1659031334
Name:IAFE, NATALIE
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:IAFE
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 1:7656 HARBOR VIEW WAY
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:FL
Mailing Address - Zip Code:33776-3717
Mailing Address - Country:US
Mailing Address - Phone:312-756-9794
Mailing Address - Fax:312-756-9794
Practice Address - Street 1:7656 HARBOR VIEW WAY
Practice Address - Street 2:
Practice Address - City:SEMINOLE
Practice Address - State:FL
Practice Address - Zip Code:33776-3717
Practice Address - Country:US
Practice Address - Phone:312-756-9794
Practice Address - Fax:312-756-9794
Is Sole Proprietor?:No
Enumeration Date:2021-12-22
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician