Provider Demographics
NPI:1033496989
Name:YARBROUGH, DONALD REID JR (ATP)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:REID
Last Name:YARBROUGH
Suffix:JR
Gender:M
Credentials:ATP
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Mailing Address - Street 1:5555 N LAMAR BLVD
Mailing Address - Street 2:SUITE D107
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78751-1073
Mailing Address - Country:US
Mailing Address - Phone:512-452-7988
Mailing Address - Fax:512-452-7738
Practice Address - Street 1:5555 N LAMAR BLVD
Practice Address - Street 2:SUITE D107
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78751-1073
Practice Address - Country:US
Practice Address - Phone:512-452-7988
Practice Address - Fax:512-452-7738
Is Sole Proprietor?:No
Enumeration Date:2011-11-07
Last Update Date:2011-11-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXATP48999225CA2400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225CA2400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorAssistive Technology Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXATP48999OtherRESNA