Provider Demographics
NPI:1568062842
Name:YATRON, NIKKI TAYLOR TALARICO
Entity type:Individual
Prefix:
First Name:NIKKI
Middle Name:TAYLOR TALARICO
Last Name:YATRON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:NIKKI
Other - Middle Name:TAYLOR
Other - Last Name:TALARICO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:915 RHODE ISLAND AVE NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-4153
Mailing Address - Country:US
Mailing Address - Phone:202-232-6100
Mailing Address - Fax:202-644-7024
Practice Address - Street 1:915 RHODE ISLAND AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-4153
Practice Address - Country:US
Practice Address - Phone:202-232-6100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-27
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC200001667101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional