Provider Demographics
NPI:1356138168
Name:STEED, AYMYE JESSIKA
Entity type:Individual
Prefix:
First Name:AYMYE
Middle Name:JESSIKA
Last Name:STEED
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:JESSIKA
Other - Middle Name:AMYLOUISE
Other - Last Name:SHUMWAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:33779 DALTON CT
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587-3217
Mailing Address - Country:US
Mailing Address - Phone:510-320-7183
Mailing Address - Fax:
Practice Address - Street 1:3547 68TH AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94605-2123
Practice Address - Country:US
Practice Address - Phone:954-505-6088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician