Individual ProviderKarina YakubovaBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address6509 99th St, Apt 3s, Rego Park, NY 11374-3529(347) 445-0041PECOS EnrollmentBased on the most recent information from CMS, provider Karina Yakubova does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1962019067Provider TypeIndividualFull NameYakubova, KarinaGenderFemaleSole ProprietorNoEnumeration Date9/23/2020Last Updated9/29/2020Contact InformationPractice LocationPractice Address6509 99th St, Apt 3s, Rego Park, NY 11374-3529Phone(347) 445-0041FaxUnlisted FaxMailing LocationMailing Address6509 99th St Apt 3s, Rego Park, NY 11374-3529Phone(347) 445-0041FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicense1417648201New YorkProvider IdentifiersIDDescriptionIssuerID742329461-00DescriptionOtherIssuerFIDELIS CARENew York