Provider Demographics
NPI:1083133599
Name:LAYENS NOZIERE, YVROSE (BSC)
Entity Type:Individual
Prefix:
First Name:YVROSE
Middle Name:
Last Name:LAYENS NOZIERE
Suffix:
Gender:F
Credentials:BSC
Other - Prefix:MRS
Other - First Name:YVROSE
Other - Middle Name:
Other - Last Name:LAYENS-NOZIERE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:YVROSE LAYENS
Mailing Address - Street 1:FOUR NESHAMINY INTERPLEX
Mailing Address - Street 2:SUITE 202
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19053-1431
Mailing Address - Country:US
Mailing Address - Phone:215-322-8860
Mailing Address - Fax:
Practice Address - Street 1:FOUR NASHAMINY
Practice Address - Street 2:
Practice Address - City:TREVOSE
Practice Address - State:PA
Practice Address - Zip Code:19054
Practice Address - Country:US
Practice Address - Phone:215-322-8860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARBT-15-11478103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst