Provider Demographics
NPI:1134009525
Name:ENSUNCHO BARCENAS, NOHORIS MARIA
Entity type:Individual
Prefix:
First Name:NOHORIS
Middle Name:MARIA
Last Name:ENSUNCHO BARCENAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3121 CITRON GOLD BLVD APT 216
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33559-7431
Mailing Address - Country:US
Mailing Address - Phone:305-303-4193
Mailing Address - Fax:
Practice Address - Street 1:3121 CITRON GOLD BLVD APT 216
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33559-7431
Practice Address - Country:US
Practice Address - Phone:305-303-4193
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-05
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-467092106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician