Provider Demographics
NPI:1760927230
Name:YACHNES, ELIANA (LP)
Entity Type:Individual
Prefix:
First Name:ELIANA
Middle Name:
Last Name:YACHNES
Suffix:
Gender:F
Credentials:LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:499 HARBOR DR
Mailing Address - Street 2:
Mailing Address - City:CEDARHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11516-1013
Mailing Address - Country:US
Mailing Address - Phone:718-415-8807
Mailing Address - Fax:
Practice Address - Street 1:499 HARBOR DR
Practice Address - Street 2:
Practice Address - City:CEDARHURST
Practice Address - State:NY
Practice Address - Zip Code:11516-1013
Practice Address - Country:US
Practice Address - Phone:718-415-8807
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-19
Last Update Date:2018-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001486103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst