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NPI Code Detail

MEDICARE: TAYLOR YVONNE MCEACHIN

MEDICARE: TAYLOR YVONNE MCEACHIN
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
1373H00000XDay Training/Habilitation Specialist
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1366215220
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR YVONNE MCEACHIN
Provider Business Mailing Address
First Line : 4892 SAN PABLO DAM RD
Second Line :
City : EL SOBRANTE
State : CA
Zip : 94803-3222
Country : US
Telephone Number : 510-836-9567
Fax Number :
Provider Business Practice Location Address
First Line : 4892 SAN PABLO DAM RD
Second Line :
City : EL SOBRANTE
State : CA
Zip : 94803-3222
Country : US
Telephone Number : 510-836-9567
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2023
Last Update Date : 01/05/2026

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Directions to “ TAYLOR YVONNE MCEACHIN ” Practice Location

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