Provider Demographics
NPI:1396483434
Name:ABED, YADINA (RBT)
Entity type:Individual
Prefix:
First Name:YADINA
Middle Name:
Last Name:ABED
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:79 PETER'S REST
Mailing Address - Street 2:SUITE1 SUITE3
Mailing Address - City:CHRISTIANSTED
Mailing Address - State:VI
Mailing Address - Zip Code:00820
Mailing Address - Country:US
Mailing Address - Phone:134-064-2739
Mailing Address - Fax:
Practice Address - Street 1:79 PETER'S REST
Practice Address - Street 2:SUITE1 SUITE3
Practice Address - City:CHRISTIANSTED
Practice Address - State:VI
Practice Address - Zip Code:00820
Practice Address - Country:US
Practice Address - Phone:340-642-7390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-26
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician