Provider Demographics
NPI:1417224759
Name:RUSHING, YVONNE CAINES (PSYS)
Entity type:Individual
Prefix:
First Name:YVONNE
Middle Name:CAINES
Last Name:RUSHING
Suffix:
Gender:F
Credentials:PSYS
Other - Prefix:
Other - First Name:YVONNE
Other - Middle Name:
Other - Last Name:CAINES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:283 DAHOON HOLLY DR
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32117-7122
Mailing Address - Country:US
Mailing Address - Phone:954-790-1153
Mailing Address - Fax:
Practice Address - Street 1:283 DAHOON HOLLY DR
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32117-7122
Practice Address - Country:US
Practice Address - Phone:954-790-1153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-30
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst