Provider Demographics
NPI:1417306887
Name:MOTA, NOELIA
Entity Type:Individual
Prefix:
First Name:NOELIA
Middle Name:
Last Name:MOTA
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 1:7567 SUN TREE CIR APT 27
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32807-6132
Mailing Address - Country:US
Mailing Address - Phone:646-628-2709
Mailing Address - Fax:
Practice Address - Street 1:5549 MADRID AVE
Practice Address - Street 2:APT 119
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32807-1860
Practice Address - Country:US
Practice Address - Phone:646-628-2709
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-07
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other