Provider Demographics
NPI:1265065700
Name:TIKUYE, DANAYT MESFIN
Entity type:Individual
Prefix:
First Name:DANAYT
Middle Name:MESFIN
Last Name:TIKUYE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3741 CASTLE TER
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-4703
Mailing Address - Country:US
Mailing Address - Phone:202-322-5383
Mailing Address - Fax:
Practice Address - Street 1:3741 CASTLE TER
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-4703
Practice Address - Country:US
Practice Address - Phone:202-322-5383
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-12
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDT-200-135-599-7803747P1801X
106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant