Rola Fouad Elzakkah

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

911 E Atlantic Blvd
Pompano Beach, FL 33060-7372

Phone

(954) 941-2323

NPI assigned

Dec 13, 2020

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": "1607817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607817600000",
    "number": "1154917284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 CARAMBOLA CIR S",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330662925",
            "telephone_number": "347-755-3708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 E ATLANTIC BLVD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330607372",
            "telephone_number": "954-941-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELZAKKAH",
        "first_name": "ROLA",
        "middle_name": "FOUAD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-13",
        "last_updated": "2020-12-13",
        "certification_date": "2020-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dena Lynn Elkins
• Steven Robert Eller, PTA12546
• Jamie Alicia Ellerbee
• Samantha Lynn Elliott
• Valaencia Michelle Ellis
• Emergency Services Provider Group, Inc
• Emilienne Tiana Emile, COTA
• Marielande Emile, LCSW
• Jill Grigg Emmerich, BCABA
• Empower Detox and Recovery Center

• Behavior Technician in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2020; 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.