Individual provider Active NPI

Noel Lafratta, BCABA, BCBA

  • Behavior Analyst
  • Lake Worth, FL
National Provider Identifier
1497419329
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-24-76383 Issued in FL
Practice address
9815 Cross Pine CT
Lake Worth, FL 33467-2367
Phone
(845) 988-7705
NPI assigned
Oct 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 0-22-14150 FL
Behavior Technician 106S00000X 19-78734 NY
Behavior Analyst 103K00000X 1-24-76383 FL Primary

Addresses

Primary practice location

9815 Cross Pine CT
Lake Worth, FL 33467-2367

Mailing address

2025 SW Monterrey LN
Port Saint Lucie, FL 34953-2030
Phone (845) 988-7705

Other practice location 1

4203 SW High Meadows Ave
Palm City, FL 34990-3726
Phone (772) 222-5560

Other practice location 2

3802 SW Daisy St
Port Saint Lucie, FL 34953-4001
Phone (845) 988-7705

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

State licenses

LicenseStateTypeSpecialty
19-78734NYMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Treasure Coast ABA Services Behavior Technician CurrentSince Sep 20, 2022 Accepting new patients
Mod Behavior ABA, LLC Behavior Analyst Past Accepting new patients

Locations

4203 SW High Meadows Ave
Palm City, FL 34990
Phone (772) 222-5560

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1497419329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 SW MONTERREY LN",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349532030",
            "telephone_number": "845-988-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9815 CROSS PINE CT",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672367",
            "telephone_number": "845-988-7705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4203 SW High Meadows Ave",
            "address_purpose": "LOCATION",
            "city": "Palm City",
            "state": "FL",
            "postal_code": "349903726",
            "country_code": "US",
            "telephone_number": "772-222-5560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3802 SW Daisy St",
            "address_purpose": "LOCATION",
            "city": "Port Saint Lucie",
            "state": "FL",
            "postal_code": "349534001",
            "country_code": "US",
            "telephone_number": "845-988-7705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAFRATTA",
        "first_name": "NOEL",
        "credential": "BCABA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-22-14150",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NY",
            "license": "19-78734",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-24-76383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.