Provider Demographics
NPI:1053882456
Name:FOLKERDS, YEHSICA RASHENI (RBT)
Entity type:Individual
Prefix:MRS
First Name:YEHSICA
Middle Name:RASHENI
Last Name:FOLKERDS
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 31ST AVE
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32968-2090
Mailing Address - Country:US
Mailing Address - Phone:772-224-0741
Mailing Address - Fax:
Practice Address - Street 1:5080 TOPAZ LN SW
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32968-5863
Practice Address - Country:US
Practice Address - Phone:305-393-0179
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-10
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician