Provider Demographics
NPI:1891133781
Name:NOCERA ENTERPRISES, LLC
Entity Type:Organization
Organization Name:NOCERA ENTERPRISES, LLC
Other - Org Name:SEEDLING BEHAVIOR ANALYSIS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROCCO
Authorized Official - Middle Name:LEOPOLD
Authorized Official - Last Name:NOCERA
Authorized Official - Suffix:
Authorized Official - Credentials:MA, BCBA
Authorized Official - Phone:574-232-5532
Mailing Address - Street 1:1321 MANCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46615-3836
Mailing Address - Country:US
Mailing Address - Phone:574-232-5532
Mailing Address - Fax:
Practice Address - Street 1:1321 MANCHESTER DR
Practice Address - Street 2:
Practice Address - City:SOUTH BEND
Practice Address - State:IN
Practice Address - Zip Code:46615-3836
Practice Address - Country:US
Practice Address - Phone:574-232-5532
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-13
Last Update Date:2013-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
12408768OtherCAQH