Provider Demographics
NPI:1598508244
Name:LAYAN, YAHYA DEK
Entity type:Individual
Prefix:
First Name:YAHYA
Middle Name:DEK
Last Name:LAYAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12655 GERMANE AVE APT 12
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55124-4369
Mailing Address - Country:US
Mailing Address - Phone:507-977-5906
Mailing Address - Fax:952-600-4013
Practice Address - Street 1:12655 GERMANE AVE APT 12
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55124-4369
Practice Address - Country:US
Practice Address - Phone:507-977-5906
Practice Address - Fax:952-600-4013
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-18
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst