Provider Demographics
NPI:1316713621
Name:SANNI, RASHIDA YESIDE
Entity type:Individual
Prefix:
First Name:RASHIDA
Middle Name:YESIDE
Last Name:SANNI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 NIGHTFALL LN APT 419
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:MD
Mailing Address - Zip Code:21122-5373
Mailing Address - Country:US
Mailing Address - Phone:202-271-6216
Mailing Address - Fax:
Practice Address - Street 1:51 NIGHTFALL LN APT 419
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:MD
Practice Address - Zip Code:21122-5373
Practice Address - Country:US
Practice Address - Phone:202-271-6216
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-28
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician