Provider Demographics
NPI:1689409815
Name:OFFORD, MALIKA
Entity type:Individual
Prefix:
First Name:MALIKA
Middle Name:
Last Name:OFFORD
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 1:5303 HUNT CLIFF RD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5119
Mailing Address - Country:US
Mailing Address - Phone:659-206-1247
Mailing Address - Fax:
Practice Address - Street 1:5303 HUNT CLIFF RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-5119
Practice Address - Country:US
Practice Address - Phone:659-206-1247
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician