Healthcare Provider Details

I. General information

NPI: 1750297560
Provider Name (Legal Business Name): JOELLE VIOLET NOETZLI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2888 LOKER AVE E STE 105
CARLSBAD CA
92010-6683
US

IV. Provider business mailing address

3601 S EL CAMINO REAL
SAN CLEMENTE CA
92672-3406
US

V. Phone/Fax

Practice location:
  • Phone: 619-795-9925
  • Fax:
Mailing address:
  • Phone: 949-257-5423
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: