Provider Demographics
NPI:1336035237
Name:YATSKO, DEBRA (MED, BCBA)
Entity type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:
Last Name:YATSKO
Suffix:
Gender:F
Credentials:MED, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19229 DUTTON LN
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:DE
Mailing Address - Zip Code:19968-3089
Mailing Address - Country:US
Mailing Address - Phone:724-766-5579
Mailing Address - Fax:
Practice Address - Street 1:17344 SWEETBRIAR RD
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-4021
Practice Address - Country:US
Practice Address - Phone:302-645-7210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE1-22-58390103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst