Provider Demographics
NPI:1033872478
Name:RABAN, YARDENA (HEALTH COACH)
Entity Type:Individual
Prefix:
First Name:YARDENA
Middle Name:
Last Name:RABAN
Suffix:
Gender:F
Credentials:HEALTH COACH
Other - Prefix:
Other - First Name:JORDANA
Other - Middle Name:
Other - Last Name:RABAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:23 AVE MARIA CT
Mailing Address - Street 2:
Mailing Address - City:MILLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07946-1550
Mailing Address - Country:US
Mailing Address - Phone:908-380-5109
Mailing Address - Fax:
Practice Address - Street 1:23 AVE MARIA CT
Practice Address - Street 2:
Practice Address - City:MILLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07946-1550
Practice Address - Country:US
Practice Address - Phone:908-380-5109
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-21
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date: