Provider Demographics
NPI:1720896517
Name:FERNANDEZ ALMEIDA, LAURENS DE LA CARIDAD
Entity type:Individual
Prefix:
First Name:LAURENS
Middle Name:DE LA CARIDAD
Last Name:FERNANDEZ ALMEIDA
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 1:716 NATHAN HALE RD
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33405-4246
Mailing Address - Country:US
Mailing Address - Phone:561-201-8522
Mailing Address - Fax:
Practice Address - Street 1:716 NATHAN HALE RD
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33405-4246
Practice Address - Country:US
Practice Address - Phone:561-201-8522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-25
Last Update Date:2024-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-392697106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician