Provider Demographics
NPI:1548891492
Name:NOYOLA, ALEJANDRO MIGUEL (BCBA)
Entity type:Individual
Prefix:
First Name:ALEJANDRO
Middle Name:MIGUEL
Last Name:NOYOLA
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 N 6TH PL APT 21G
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11249-3443
Mailing Address - Country:US
Mailing Address - Phone:786-338-1183
Mailing Address - Fax:
Practice Address - Street 1:2 N 6TH PL APT 21G
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11249-3443
Practice Address - Country:US
Practice Address - Phone:786-338-1183
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-30
Last Update Date:2020-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty