Provider Demographics
NPI:1194613174
Name:VILLALOBOS MALDONADO, GEYDI YARET
Entity type:Individual
Prefix:MS
First Name:GEYDI
Middle Name:YARET
Last Name:VILLALOBOS MALDONADO
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:GEYDI
Other - Middle Name:YARET
Other - Last Name:VILLALOBOS MALDONADO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1003 WEEKS ST # 2
Mailing Address - Street 2:
Mailing Address - City:EAST PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94303-1341
Mailing Address - Country:US
Mailing Address - Phone:408-748-6517
Mailing Address - Fax:
Practice Address - Street 1:1003 WEEKS ST # 2
Practice Address - Street 2:
Practice Address - City:EAST PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94303-1341
Practice Address - Country:US
Practice Address - Phone:408-748-6517
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician