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NPI Code Detail

MEDICARE: YOLANDA D STANDIFER

MEDICARE: YOLANDA D STANDIFER
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 Analyst
2106S00000XBehavior Technician
3103K00000XBehavior AnalystNV

General Provider Information

NPI Number : 1205353836
Entity Type Code : Individual
Provider Name (Legal Business Name) : YOLANDA D STANDIFER
Provider Business Mailing Address
First Line : PO BOX 1261
Second Line :
City : NORTH HIGHLANDS
State : CA
Zip : 95660-1261
Country : US
Telephone Number : 916-320-5031
Fax Number :
Provider Business Practice Location Address
First Line : 2000 POWELL ST STE 900
Second Line :
City : EMERYVILLE
State : CA
Zip : 94608-1888
Country : US
Telephone Number : 916-320-5031
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2017
Last Update Date : 04/21/2026

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Directions to “ YOLANDA D STANDIFER ” Practice Location

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