Provider Demographics
NPI:1720782428
Name:PAUL, NUMANE
Entity Type:Individual
Prefix:
First Name:NUMANE
Middle Name:
Last Name:PAUL
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 1:6148 FOREST HILL BLVD APT 204
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33415-6269
Mailing Address - Country:US
Mailing Address - Phone:786-800-8673
Mailing Address - Fax:
Practice Address - Street 1:12300 ALT A1A
Practice Address - Street 2:STE 114-116
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-2205
Practice Address - Country:US
Practice Address - Phone:561-284-6680
Practice Address - Fax:561-209-0021
Is Sole Proprietor?:No
Enumeration Date:2023-03-28
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician