Active NPI
Imani Noel
- Behavior Technician
- Orlando, FL
National Provider Identifier
1144780842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 5959 Lake Ellenor Dr
Orlando, FL 32809-4633 - Phone
- (407) 490-1453
- NPI assigned
- Mar 20, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
5959 Lake Ellenor Dr
Orlando, FL 32809-4633
Mailing address
5620 Spanish River Rd
Fort Pierce, FL 34951-2897
Phone (772) 267-0539
Other practice location 1
10150 Highland Manor Dr
Tampa, FL 33610-9713
Phone (863) 602-0698
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715817600000",
"number": "1144780842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5620 SPANISH RIVER RD",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349512897",
"telephone_number": "772-267-0539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5959 LAKE ELLENOR DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328094633",
"telephone_number": "407-490-1453"
}
],
"practiceLocations": [
{
"address_1": "10150 Highland Manor Dr",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336109713",
"country_code": "US",
"telephone_number": "863-602-0698",
"fax_number": "813-354-2715",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOEL",
"first_name": "IMANI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-20",
"last_updated": "2024-05-16",
"certification_date": "2024-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.