National Provider Identifier
Yvon Serge Dimiyo, MA, MHA, MAPS
Yvon Serge Dimiyo, MA, MHA, MAPS is listed in the NPPES registry with a primary specialty of Counselor in Kenmore, NY and a listed phone number of (716) 566-7771.
Profile Overview
- NPI
- 1871140426
- Provider Type
- Individual
- Primary Specialty
- Counselor
- Enumeration Date
- August 19, 2019
- Last Updated
- September 03, 2020
Practice Location
- 262 Woodward Ave
- Kenmore, NY 14217-1539
Phone: (716) 566-7771
Specialties
- Counselor (101Y00000X)
- Behavior Technician (106S00000X)
Full Record
- NPI
- 1871140426
- Entity Type
- Individual
- Last Name
- Dimiyo
- First Name
- Yvon
- Middle Name
- Serge
- Credential
- MA, MHA, MAPS
- Mailing Street Address
- 262 Woodward Ave
- Mailing City
- Kenmore
- Mailing State
- NY
- Mailing ZIP Code
- 14217-1539
- Mailing Country
- US
- Mailing Phone
- (716) 566-7771
- Practice Street Address
- 262 Woodward Ave
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-1539
- Practice Country
- US
- Practice Phone
- (716) 566-7771
- Enumeration Date
- August 19, 2019
- Last Updated
- September 03, 2020
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- September 03, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Counselor (101Y00000X), Behavior Technician (106S00000X)