Noel E Lastre Mendoza
Individual provider Active NPI Behavior Technician · Surfside, FL
NPI 1891208237 · NPPES record last updated Nov 8, 2017
Key facts
- NPI
- 1891208237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 9064 Collins Ave Apt 9
Surfside, FL 33154-3253 - Phone
- (786) 622-9776
- NPI assigned
- Nov 8, 2017
- Sex
- Male
- 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
9064 Collins Ave Apt 9
Surfside, FL 33154-3253
Mailing address
9064 Collins Ave Apt 9
Surfside, FL 33154-3253
Phone (786) 622-9776
Other providers in Surfside, FL
- Iris Fox LCSW LLC
- Sarit J Itenberg
- Marissa Jade Jacobson
- Judith Kaplan
- Carmen Rosa Kennedy
- Erika Eunice Lawrence Robinson
- Mera Levin
- Jennifer M Lopez
- Lovecareresearch
- Samuel Eugene Maya
All providers in Surfside, 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 Nov 8, 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.