Provider Demographics
NPI:1174485015
Name:KELEMEWORK, YUKABED
Entity type:Individual
Prefix:
First Name:YUKABED
Middle Name:
Last Name:KELEMEWORK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1921 SARATOGA DR
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20783-2102
Mailing Address - Country:US
Mailing Address - Phone:240-432-1647
Mailing Address - Fax:
Practice Address - Street 1:1921 SARATOGA DR
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20783-2102
Practice Address - Country:US
Practice Address - Phone:240-432-1647
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-12-01
Last Update Date:2025-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician