Fireselam Geabrab Yifter
Behavior Technician in Fresno, CA. Individual provider (NPI-1).
NPI number1104643733
StatusActive
Last updated in NPPESSep 24, 2024
Details
- NPI
- 1104643733
- Entity type
- Individual (NPI-1)
- Name
- Fireselam Geabrab Yifter
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 24, 2024
- Certification date
- Sep 24, 2024
- Last updated
- Sep 24, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
530 E Herndon Ave Ste 105Fresno, CA 93720-2990
Phone 855-223-7123
Mailing address
Po Box 33568San Diego, CA 92163-3568
Phone 855-223-7123
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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