Provider Demographics
NPI:1669039921
Name:FLOYD, ZAKIYAH
Entity Type:Individual
Prefix:
First Name:ZAKIYAH
Middle Name:
Last Name:FLOYD
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 1:650 PARK AVE APT GL6
Mailing Address - Street 2:
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07017-1578
Mailing Address - Country:US
Mailing Address - Phone:252-621-0440
Mailing Address - Fax:
Practice Address - Street 1:650 PARK AVE APT GL6
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07017-1578
Practice Address - Country:US
Practice Address - Phone:252-621-0440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-22
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst