Provider Demographics
NPI:1053845867
Name:FRANKEL, NOVIA (MA BCBA)
Entity Type:Individual
Prefix:
First Name:NOVIA
Middle Name:
Last Name:FRANKEL
Suffix:
Gender:F
Credentials:MA BCBA
Other - Prefix:
Other - First Name:NOVIA
Other - Middle Name:
Other - Last Name:LEVERENTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2425 VALKARIA RD
Mailing Address - Street 2:
Mailing Address - City:GRANT VALKARIA
Mailing Address - State:FL
Mailing Address - Zip Code:32950-4764
Mailing Address - Country:US
Mailing Address - Phone:813-455-1670
Mailing Address - Fax:
Practice Address - Street 1:475 S JOHN RODES BLVD
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32904-1093
Practice Address - Country:US
Practice Address - Phone:321-241-1170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-18
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-18-32664103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst