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NPI Code Detail

MEDICARE: AUSTIN YEATER BCBA

MEDICARE: AUSTIN YEATER BCBA
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
2103K00000XBehavior Analyst1-18-31703
3106S00000XBehavior Technician

General Provider Information

NPI Number : 1326559352
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUSTIN YEATER BCBA
Provider Business Mailing Address
First Line : 2233 ACADEMY PL STE 200
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80909-1666
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2233 ACADEMY PL STE 200
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80909-1666
Country : US
Telephone Number : 309-502-9514
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2017
Last Update Date : 03/17/2026

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Directions to “ AUSTIN YEATER BCBA” Practice Location

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