Provider Demographics
NPI:1962979138
Name:KARABELNIK, YAMIT (MA)
Entity type:Individual
Prefix:
First Name:YAMIT
Middle Name:
Last Name:KARABELNIK
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1418 ADDISON ST
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94702-1903
Mailing Address - Country:US
Mailing Address - Phone:916-390-8438
Mailing Address - Fax:
Practice Address - Street 1:801 NATOMA ST
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-3012
Practice Address - Country:US
Practice Address - Phone:916-337-9842
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-25
Last Update Date:2018-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA$$$$$$$$$OtherAUTISM INTERVENTIONIST