Healthcare Provider Details

I. General information

NPI: 1912855594
Provider Name (Legal Business Name): JOEY NONACA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2026
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23046 AVENIDA DE LA CARLOTA STE 600
LAGUNA HILLS CA
92653-1537
US

IV. Provider business mailing address

22365 EL TORO RD STE 151
EL TORO CA
92630-5053
US

V. Phone/Fax

Practice location:
  • Phone: 949-331-6016
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: