Healthcare Provider Details

I. General information

NPI: 1578482204
Provider Name (Legal Business Name): YAHAV AVRAHAM-KATZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2585 OLD GLORY RD UNIT 109
CLEMMONS NC
27012-9276
US

IV. Provider business mailing address

1709 CLARENDON DR
GREENSBORO NC
27410-2928
US

V. Phone/Fax

Practice location:
  • Phone: 336-568-8386
  • Fax:
Mailing address:
  • Phone: 336-339-3858
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number1356271
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: