Provider Demographics
NPI:1447874961
Name:STEELE, TOBIAH
Entity type:Individual
Prefix:
First Name:TOBIAH
Middle Name:
Last Name:STEELE
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 1:2309 E 10TH ST APT 3307
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-3164
Mailing Address - Country:US
Mailing Address - Phone:910-915-6367
Mailing Address - Fax:
Practice Address - Street 1:3100 MILL ST STE 204
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-2217
Practice Address - Country:US
Practice Address - Phone:775-232-3590
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-01
Last Update Date:2020-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician