Healthcare Provider Details

I. General information

NPI: 1699459891
Provider Name (Legal Business Name): YOLANDA L COBB BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2023
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 EAST MAIN STREET SUITE 200
ROCK HILL SC
29730-5384
US

IV. Provider business mailing address

331 EAST MAIN STREET SUITE 200
ROCK HILL SC
29730-5384
US

V. Phone/Fax

Practice location:
  • Phone: 803-242-3240
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-90045
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: