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NPI Code Detail

MEDICARE: MARIA YATES

MEDICARE: MARIA YATES
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
1171M00000XCase Manager/Care CoordinatorOH
2106S00000XBehavior TechnicianRBT-26-522960OH

General Provider Information

NPI Number : 1326979808
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA YATES
Provider Business Mailing Address
First Line : 4134 LINDEN AVE
Second Line :
City : DAYTON
State : OH
Zip : 45432-3043
Country : US
Telephone Number : 937-365-4755
Fax Number : 937-600-6071
Provider Business Practice Location Address
First Line : 4134 LINDEN AVE
Second Line :
City : DAYTON
State : OH
Zip : 45432-3043
Country : US
Telephone Number : 937-365-4755
Fax Number : 937-600-6071
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2026
Last Update Date : 05/26/2026

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Directions to “ MARIA YATES ” Practice Location

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