Provider Demographics
NPI:1912669136
Name:GOKEY, TONIA DOROTHY
Entity Type:Individual
Prefix:
First Name:TONIA
Middle Name:DOROTHY
Last Name:GOKEY
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 1:6741 SCHROEDER RD APT 1
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53711-2362
Mailing Address - Country:US
Mailing Address - Phone:715-459-4675
Mailing Address - Fax:
Practice Address - Street 1:6741 SCHROEDER RD APT 1
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53711-2362
Practice Address - Country:US
Practice Address - Phone:715-459-4675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-06
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician