Provider Demographics
NPI:1679190409
Name:TAHER, YATHREB
Entity Type:Individual
Prefix:
First Name:YATHREB
Middle Name:
Last Name:TAHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 WILSON RD STE 600
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-6180
Mailing Address - Country:US
Mailing Address - Phone:281-895-1599
Mailing Address - Fax:
Practice Address - Street 1:1701 WILSON RD STE 600
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-6180
Practice Address - Country:US
Practice Address - Phone:281-895-1599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-27
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician