Provider Demographics
NPI:1396277794
Name:HESTAND, YANA
Entity type:Individual
Prefix:DR
First Name:YANA
Middle Name:
Last Name:HESTAND
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:YANA
Other - Middle Name:
Other - Last Name:HESTAND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:EDD
Mailing Address - Street 1:7535 S GRANITE CT
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-7253
Mailing Address - Country:US
Mailing Address - Phone:918-728-8255
Mailing Address - Fax:
Practice Address - Street 1:7535 S GRANITE CT
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-7253
Practice Address - Country:US
Practice Address - Phone:918-728-8255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-03
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK05271789Medicaid
OK05271978Medicaid
OK05271978Medicare Oscar/Certification
OK05271978Medicare UPIN
OK0527197803Medicare NSC
OK05271978Medicare PIN