MEDICARE: DARRIALE YARBROUGH

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
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1053131052
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARRIALE YARBROUGH

Provider Business Mailing Address
First Line	:	3186 AIRWAY AVE STE A
Second Line	:
City	:	COSTA MESA
State	:	CA
Zip	:	92626-4650
Country	:	US
Telephone Number	:	714-881-0427
Fax Number	:	714-327-0673

Provider Business Practice Location Address
First Line	:	1801 ROYAL LN STE 300
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75229-3765
Country	:	US
Telephone Number	:	888-754-0398
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2024
Last Update Date	:	08/14/2025

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Directions to “ DARRIALE YARBROUGH ” Practice Location

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