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NPI Code Detail

MEDICARE: YAMILKA TATIANA MALONE BATISTA

MEDICARE: YAMILKA TATIANA MALONE BATISTA
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
1106S00000XBehavior TechnicianRBT-25-426536SC

General Provider Information

NPI Number : 1437046075
Entity Type Code : Individual
Provider Name (Legal Business Name) : YAMILKA TATIANA MALONE BATISTA
Provider Business Mailing Address
First Line : 200 ASHE DR APT B5
Second Line :
City : GREENVILLE
State : SC
Zip : 29617-3262
Country : US
Telephone Number : 787-466-2530
Fax Number :
Provider Business Practice Location Address
First Line : 430 ROPER MOUNTAIN RD UNIT 440-A
Second Line :
City : GREENVILLE
State : SC
Zip : 29615-4236
Country : US
Telephone Number : 864-204-0440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2025
Last Update Date : 06/18/2025

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Directions to “ YAMILKA TATIANA MALONE BATISTA ” Practice Location

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