Mabel Maria La Coba de Leon

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3150 Starboard Dr
Lake Worth, FL 33462-3785

Phone

(561) 255-2605

NPI assigned

Oct 21, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1023735974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 PALM BEACH LAKES BLVD STE 300M",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096515",
            "telephone_number": "561-475-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 STARBOARD DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334623785",
            "telephone_number": "561-255-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA COBA DE LEON",
        "first_name": "MABEL",
        "middle_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-21",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William J Kuncewitch, M.D.
• Klaudia Kurti
• Amy Kushner, PT
• Simone Kushnirsky, OTR/L
• L.L.&R.'S Stepping Stones, LLC
• Memphis Labrada
• Fatima Marie Labrousse, ARNP
• Loodjhinssy Lafaille-Paul, OTR/L
• Elisa Helen Lafavor, D.C.
• Noel Lafratta, BCABA, BCBA

• Behavior Technician in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.