Active NPI
Codasha Flore Raymond Noel
- Behavior Technician
- Coconut Creek, FL
National Provider Identifier
1619695632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-225229
- Practice address
- 3720 Coconut Creek Pkwy Ste D
Coconut Creek, FL 33066-1634 - Phone
- (954) 590-0647
- NPI assigned
- Aug 16, 2022
- Last updated
- Aug 16, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-22-225229 | FL | Primary |
Addresses
Primary practice location
3720 Coconut Creek Pkwy Ste D
Coconut Creek, FL 33066-1634
Mailing address
4002 Inverrary Blvd Apt 2B
Lauderhill, FL 33319-4371
Phone (813) 638-1857
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-22-225229 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660608000000",
"number": "1619695632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4002 INVERRARY BLVD APT 2B",
"city": "LAUDERHILL",
"state": "FL",
"postal_code": "333194371",
"telephone_number": "813-638-1857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3720 COCONUT CREEK PKWY STE D",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330661634",
"telephone_number": "954-590-0647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOEL",
"first_name": "CODASHA",
"middle_name": "FLORE RAYMOND",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-16",
"last_updated": "2022-08-16",
"certification_date": "2022-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-22-225229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coconut Creek, FL
- Linda Nguyen
- Nam Quoc Nguyen, D.O.
- Nadine Bishara Nicolas, DMD
- Eduardo E Nieto, ARNP
- Evelyn Nieves, MD
- Sherloune Normil-Smith, M.D.
- North Broward Chiropractic and Wellness Center
- North Broward Hospital District (BH Physicians North)
- Northland Hearing Centers, Inc (Allied Hearing Centers)
- Nova Wellness Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.