Healthcare Provider Details

I. General information

NPI: 1679478895
Provider Name (Legal Business Name): YAZARIYA HOWARD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: YAZARIYA BRYANT

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1229 38TH AVE N STE 391
MYRTLE BEACH SC
29577-1313
US

IV. Provider business mailing address

4013 BERNARDI DR
FLORENCE SC
29501-7142
US

V. Phone/Fax

Practice location:
  • Phone: 855-832-6727
  • Fax:
Mailing address:
  • Phone: 803-552-8750
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: