Provider Demographics
NPI:1245682814
Name:YASOVA-ZAFFOS, MATTHEW (BCBA)
Entity type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:
Last Name:YASOVA-ZAFFOS
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5018 CAMBERLEY LN
Mailing Address - Street 2:
Mailing Address - City:OLDSMAR
Mailing Address - State:FL
Mailing Address - Zip Code:34677-5113
Mailing Address - Country:US
Mailing Address - Phone:727-666-1963
Mailing Address - Fax:
Practice Address - Street 1:5018 CAMBERLEY LN
Practice Address - Street 2:
Practice Address - City:OLDSMAR
Practice Address - State:FL
Practice Address - Zip Code:34677-5113
Practice Address - Country:US
Practice Address - Phone:727-666-1963
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-07
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst