Provider Demographics
NPI:1457920266
Name:CELAA, NATALIE (BEHAVIOR TECHNICIAN)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:CELAA
Suffix:
Gender:F
Credentials:BEHAVIOR TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 N LAKE PARKER AVE APT E332
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33805-4750
Mailing Address - Country:US
Mailing Address - Phone:813-767-4488
Mailing Address - Fax:
Practice Address - Street 1:1130 N LAKE PARKER AVE APT E332
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33805-4750
Practice Address - Country:US
Practice Address - Phone:813-767-4488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-24
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician