Provider Demographics
NPI:1205329976
Name:ALLEYNE, YVONNE LEAH (BCBA, LBA)
Entity type:Individual
Prefix:MRS
First Name:YVONNE
Middle Name:LEAH
Last Name:ALLEYNE
Suffix:
Gender:F
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5410 RICHARDSONS ENDEAVOR DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-3395
Mailing Address - Country:US
Mailing Address - Phone:202-431-1010
Mailing Address - Fax:
Practice Address - Street 1:5410 RICHARDSONS ENDEAVOR DR
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20720-3395
Practice Address - Country:US
Practice Address - Phone:202-431-1010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-07
Last Update Date:2018-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLBA118103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst