Emily Ponomarenko
Behavior Technician in North Port, FL. Individual provider (NPI-1).
NPI number1023939634
StatusActive
Last updated in NPPESJul 22, 2026
Details
- NPI
- 1023939634
- Entity type
- Individual (NPI-1)
- Name
- Emily Ponomarenko
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 22, 2026
- Certification date
- Jul 22, 2026
- Last updated
- Jul 22, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2807 Sycamore St Unit 1North Port, FL 34289-9505
Phone 941-278-5266 · Fax 317-520-8200
Mailing address
3500 Depauw BlvdIndianapolis, IN 46268-1170
Phone 855-324-0885 · Fax 317-520-8200
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 388 Behavior Technician providers in North Port · All 1,104 providers in North Port
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