Healthcare Provider Details

I. General information

NPI: 1992564744
Provider Name (Legal Business Name): JESSICA LINS NOY DENIS RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2024
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13499 BISCAYNE BLVD APT 410
NORTH MIAMI FL
33181-2026
US

IV. Provider business mailing address

13499 BISCAYNE BLVD APT 410
NORTH MIAMI FL
33181-2026
US

V. Phone/Fax

Practice location:
  • Phone: 954-928-6041
  • Fax:
Mailing address:
  • Phone: 954-928-6041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-2855819
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: