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NPI Code Detail

MEDICARE: NATHAN YEH

MEDICARE: NATHAN YEH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-26-90429GA
2106S00000XBehavior Technician24-343282GA

General Provider Information

NPI Number : 1043173297
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHAN YEH
Provider Business Mailing Address
First Line : 4000 SMITHTOWN RD
Second Line :
City : SUWANEE
State : GA
Zip : 30024-6559
Country : US
Telephone Number : 470-665-6006
Fax Number :
Provider Business Practice Location Address
First Line : 4000 SMITHTOWN RD
Second Line :
City : SUWANEE
State : GA
Zip : 30024-6559
Country : US
Telephone Number : 470-665-6006
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2025
Last Update Date : 06/10/2026

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Directions to “ NATHAN YEH ” Practice Location

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