Provider Demographics
NPI:1053796060
Name:AKIYAMA, CLIFF (MA, MPH, FAAFS)
Entity type:Individual
Prefix:
First Name:CLIFF
Middle Name:
Last Name:AKIYAMA
Suffix:
Gender:M
Credentials:MA, MPH, FAAFS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 S 48TH ST
Mailing Address - Street 2:UNIT B
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19143-2029
Mailing Address - Country:US
Mailing Address - Phone:267-235-9426
Mailing Address - Fax:
Practice Address - Street 1:540 S 48TH ST
Practice Address - Street 2:UNIT B
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19143-2029
Practice Address - Country:US
Practice Address - Phone:267-235-9426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-21
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst