MEDICARE: LEAH YAKABOVITS M.S., BCABA

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
1	106E00000X	Assistant Behavior Analyst	0221313449	GA

General Provider Information

NPI Number	:	1982582441
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEAH YAKABOVITS M.S., BCABA

Provider Business Mailing Address
First Line	:	127 STAFFORD RD
Second Line	:
City	:	SAVANNAH
State	:	GA
Zip	:	31410-4415
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	410 MALL BLVD STE G
Second Line	:
City	:	SAVANNAH
State	:	GA
Zip	:	31406-4869
Country	:	US
Telephone Number	:	404-446-9194
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2025
Last Update Date	:	10/02/2025

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