Wonique Edith Newbold

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT24364160 Issued in FL

Practice address

1887 SE Port St Lucie Blvd
Port Saint Lucie, FL 34952-5530

Phone

(772) 463-0444

NPI assigned

Jun 4, 2024

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Behavior Basics, Incorporated

  • Specialist
  • Port St Lucie, FL
  • NPI 1497913214
  NPD
• Behavior Basics, Incorporated

  • Behavior Analyst
  • Port St Lucie, FL
  • NPI 1538406616
  NPD

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1467293449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3159 SW OTTER LN",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349978929",
            "telephone_number": "561-729-6394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1887 SE PORT ST LUCIE BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349525530",
            "telephone_number": "772-463-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBOLD",
        "first_name": "WONIQUE",
        "middle_name": "EDITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT24364160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuri Silva Neto
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• New Life Pharmacy & Medical Supply Inc
• New York Medical Doctors, PA
• Mallissa Newton
• Nextvoice Therapy LLC
• Hung Huu Nguyen, PHARMD
• Kami Nichols
• Melinda (Mindy) Nichols

• Behavior Technician in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.

Verify at the official NPI Registry.