Provider Demographics
NPI:1629429162
Name:CABASSA, YARITSSA
Entity Type:Individual
Prefix:MS
First Name:YARITSSA
Middle Name:
Last Name:CABASSA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:YARITSSA
Other - Middle Name:
Other - Last Name:FRANCISCO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1990 WESTCHESTER AVE STE B
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462-4553
Mailing Address - Country:US
Mailing Address - Phone:718-792-9937
Mailing Address - Fax:
Practice Address - Street 1:1990 WESTCHESTER AVE STE B
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462-4553
Practice Address - Country:US
Practice Address - Phone:718-792-9937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-27
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health