Healthcare Provider Details

I. General information

NPI: 1013850734
Provider Name (Legal Business Name): MS. LATOYA SANOURA NOBLE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2026
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 E 57TH ST
SIOUX FALLS SD
57108-8829
US

IV. Provider business mailing address

601 S CHARLOTTE AVE APT 5
SIOUX FALLS SD
57103-2689
US

V. Phone/Fax

Practice location:
  • Phone: 605-605-0863
  • Fax:
Mailing address:
  • Phone: 312-270-9997
  • 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: