Provider Demographics
NPI:1992564744
Name:NOY DENIS, JESSICA LINS (RBT)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:LINS
Last Name:NOY DENIS
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1770 79TH STREET CSWY APT D315
Mailing Address - Street 2:
Mailing Address - City:NORTH BAY VILLAGE
Mailing Address - State:FL
Mailing Address - Zip Code:33141-4242
Mailing Address - Country:US
Mailing Address - Phone:954-928-6041
Mailing Address - Fax:
Practice Address - Street 1:1770 79TH STREET CSWY APT D315
Practice Address - Street 2:
Practice Address - City:NORTH BAY VILLAGE
Practice Address - State:FL
Practice Address - Zip Code:33141-4242
Practice Address - Country:US
Practice Address - Phone:954-928-6041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-14
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-320882106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician