Ismael Awadalla
Individual provider Active NPI Behavior Technician · Mount Dora, FL
NPI 1508635673 · NPPES record last updated Dec 29, 2023
Key facts
- NPI
- 1508635673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 6909 Old Highway 41 S
Suite 119
Mount Dora, FL 32757 - Phone
- (352) 358-5001
- NPI assigned
- Dec 29, 2023
- Sex
- Male
- Sole proprietor
- No
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
6909 Old Highway 41 S
Suite 119
Mount Dora, FL 32757
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885
Other providers in Mount Dora, FL
- Attentive Home Care Services LLC
- Audiology Services Company USA, LLC
- Prince Augustin
- Avante at Mt. Dora, Inc.
- Avecina Medical, PA
- Zeynab Awadalla
- Ann Ayala Vazquez
- Mohammad Azad
- Abdul Majid Azizi
- Shinah B'Nai
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 Dec 29, 2023. 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.