Provider Demographics
NPI:1316792435
Name:NONELL BORRELL, DENISSE
Entity type:Individual
Prefix:
First Name:DENISSE
Middle Name:
Last Name:NONELL BORRELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6990 NW 186TH ST APT 408
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-3137
Mailing Address - Country:US
Mailing Address - Phone:786-585-1596
Mailing Address - Fax:
Practice Address - Street 1:6990 NW 186TH ST APT 408
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-3137
Practice Address - Country:US
Practice Address - Phone:786-585-1596
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-22
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician