Kenady Grace Yarbrough
Behavior Technician in San Antonio, TX. Individual provider (NPI-1).
NPI number1609613488
StatusActive
Last updated in NPPESJul 10, 2024
Details
- NPI
- 1609613488
- Entity type
- Individual (NPI-1)
- Name
- Kenady Grace Yarbrough
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 10, 2024
- Certification date
- Jul 2, 2024
- Last updated
- Jul 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | TX | Yes |
Practice location
Fairview Shopping Center, 24200 W I-10 Frontage RdSuite 109
San Antonio, TX 78257
Phone 210-263-9443
Mailing address
25207 Spider RockBoerne, TX 78006-4403
Phone 210-416-8780
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