Provider Demographics
NPI:1649893629
Name:COATES, NATASHA M (MSED)
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:M
Last Name:COATES
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 MALCOLM X BLVD APT 4A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11233-1125
Mailing Address - Country:US
Mailing Address - Phone:718-844-1901
Mailing Address - Fax:
Practice Address - Street 1:237 MALCOLM X BLVD APT 4A
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11233-1125
Practice Address - Country:US
Practice Address - Phone:718-844-1901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-25
Last Update Date:2020-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst