MEDICARE: TANEAL NICOLE MUKES BACHELORS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1356654255
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TANEAL NICOLE MUKES BACHELORS

Provider Business Mailing Address
First Line	:	777 N AIR DEPOT BLVD APT 3113
Second Line	:
City	:	MIDWEST CITY
State	:	OK
Zip	:	73110-3765
Country	:	US
Telephone Number	:	405-219-5515
Fax Number	:

Provider Business Practice Location Address
First Line	:	777 N AIR DEPOT BLVD APT 3113
Second Line	:
City	:	MIDWEST CITY
State	:	OK
Zip	:	73110-3765
Country	:	US
Telephone Number	:	405-219-5515
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2010
Last Update Date	:	07/20/2010

Similar Medicare Providers

1205248895 — MS. AKENYA D JONES
Practice Location Address:

777 N AIR DEPOT BLVD APT 3202
MIDWEST CITY, OK
73110-3765

Practice Phone: 682-551-6346
Practice Fax:

1093713794 — MS. THERESA J. SWENSON PA-C
Practice Location Address:

2730 PIERCE ST STE 300
SIOUX CITY, IA
51104-3765

Practice Phone: 712-224-8677
Practice Fax:

1134227671 — LET'S TALK SPEECH AND LANGUAGE THERAPY, INC.
Practice Location Address:

5524 52ND AVE N
KENNETH CITY, FL
33709-3765

Practice Phone: 727-547-8043
Practice Fax: 727-545-0949

1497081285 — MR. LAWRENCE EARL GEIGER III MS, CCC-SLP
Practice Location Address:

5524 52ND AVE N
KENNETH CITY, FL
33709-3765

Practice Phone: 727-642-2699
Practice Fax: 727-545-0949

1902134406 — TRI-STATE SPECIALISTS, LLP
Practice Location Address:

2730 PIERCE ST STE 300
SIOUX CITY, IA
51104-3765

Practice Phone: 712-224-8677
Practice Fax: 712-277-1662

1972800076 — IDEPENDENT DAILY LIVING SERVICES, INC
Practice Location Address:

5524 52ND AVE N
KENNETH CITY, FL
33709-3765

Practice Phone: 727-642-2699
Practice Fax: 727-545-0949

Directions to “ TANEAL NICOLE MUKES BACHELORS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.