Provider Demographics
NPI:1730689019
Name:DARBOE, YAYA
Entity type:Individual
Prefix:
First Name:YAYA
Middle Name:
Last Name:DARBOE
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 1:1000 EL RANCHO DR APT G76
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89431-8253
Mailing Address - Country:US
Mailing Address - Phone:775-997-6764
Mailing Address - Fax:
Practice Address - Street 1:1000 EL RANCHO DR APT G76
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-8253
Practice Address - Country:US
Practice Address - Phone:775-997-6764
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-13
Last Update Date:2018-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst