Wendy Baldera
Individual provider Active NPI Behavior Technician · Mount Dora, FL
NPI 1366968604 · NPPES record last updated Aug 18, 2017
Key facts
- NPI
- 1366968604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 411 N Donnelly St Ste 307
Mount Dora, FL 32757-5596 - Phone
- (352) 720-5172
- NPI assigned
- Aug 18, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
411 N Donnelly St Ste 307
Mount Dora, FL 32757-5596
Mailing address
411 N Donnelly St Ste 307
Mount Dora, FL 32757-5596
Other providers in Mount Dora, FL
- Abdul Majid Azizi
- Shinah B'Nai
- Gesmar Baez-Guzman
- Nagesh D. Bailur
- Michael Curtis Baker
- Sandra Ellen Baldoni
- Jasmin Ball
- Liam Barningham
- Katherine Barone
- Arianna Barraco
All providers in Mount Dora, FL · Behavior Technician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.