Provider Demographics
NPI:1598268674
Name:YOKOYAMA, HANAKO (RBT)
Entity Type:Individual
Prefix:
First Name:HANAKO
Middle Name:
Last Name:YOKOYAMA
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16451 N 56TH PL
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-1291
Mailing Address - Country:US
Mailing Address - Phone:602-350-1952
Mailing Address - Fax:
Practice Address - Street 1:2400 W LONGHORN DR
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286-6101
Practice Address - Country:US
Practice Address - Phone:602-350-1952
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-14
Last Update Date:2018-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRBT-18-51169106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician