Healthcare Provider Details

I. General information

NPI: 1093378762
Provider Name (Legal Business Name): PATRICK YERKES LBS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2019
Last Update Date: 02/06/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1858 CHARTER LN STE 201
LANCASTER PA
17601-6743
US

IV. Provider business mailing address

1858 CHARTER LN STE 201
LANCASTER PA
17601-6743
US

V. Phone/Fax

Practice location:
  • Phone: 856-346-0005
  • Fax:
Mailing address:
  • Phone: 856-346-0005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-18-66886
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: