Raymond Yarbrough, ATP
Technician, Other in Austin, TX. Individual provider (NPI-1).
NPI number1184053258
StatusActive
Last updated in NPPESApr 18, 2024
Details
- NPI
- 1184053258
- Entity type
- Individual (NPI-1)
- Name
- Mr. Raymond Yarbrough
- Credential
- ATP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 8, 2013
- Certification date
- Apr 18, 2024
- Last updated
- Apr 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
| 225CA2400X | Rehabilitation Counselor, Assistive Technology Practitioner | ATP 52501 | TX |
Practice location
11110 Metric Blvd Ste AAustin, TX 78758-4097
Phone 512-663-7477
Mailing address
8217 Summer Side DrAustin, TX 78759-8315
Phone 512-845-8389
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