Most Relevant Information
Provider Data
| NPI Number: | 1003651910 |
| Provider Name: | RAQUEL NEMNOM |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | 24357909 |
Most Important Dates
| Enumeration Date: | 07/01/2024 |
| Last Updated: | 07/03/2024 |
Provider Practice Location
7601 N FEDERAL HWY STE 150A
BOCA RATON
FL
334871663
Practice Location Phone/Fax
| Phone: | 7543998507 |
| Fax: |
Provider Mailing Location
7601 N FEDERAL HWY STE 150A
BOCA RATON
FL
334871663
Provider Mailing Phone/Fax
| Phone: | 7543998507 |
| Fax: |