Provider Demographics
NPI:1326623141
Name:SLOAT, NOELLE SAMARIA
Entity Type:Individual
Prefix:
First Name:NOELLE
Middle Name:SAMARIA
Last Name:SLOAT
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 1:1250 KENDALL DR APT 101
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92407-4142
Mailing Address - Country:US
Mailing Address - Phone:949-491-3413
Mailing Address - Fax:
Practice Address - Street 1:1250 KENDALL DR APT 101
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92407-4142
Practice Address - Country:US
Practice Address - Phone:949-491-3413
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-12
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst