Dyemond Mercedes Leyba
Behavior Technician in Fresno, CA. Individual provider (NPI-1).
NPI number1053124123
StatusActive
Last updated in NPPESJan 31, 2025
Details
- NPI
- 1053124123
- Entity type
- Individual (NPI-1)
- Name
- Dyemond Mercedes Leyba
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 31, 2025
- Certification date
- Jan 30, 2025
- Last updated
- Jan 31, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
6255 N Fresno StFresno, CA 93710-5271
Phone 559-341-5034
Mailing address
1921 W Porter AveVisalia, CA 93291
Phone 559-394-6556
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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