Provider Demographics
NPI:1003661562
Name:LEYEL, DEBRA LEE
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:LEE
Last Name:LEYEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2974 LONGSPUR DR
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92835-2318
Mailing Address - Country:US
Mailing Address - Phone:714-329-6796
Mailing Address - Fax:
Practice Address - Street 1:2974 LONGSPUR DR
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92835-2318
Practice Address - Country:US
Practice Address - Phone:714-329-6796
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-18
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician