Nicole Marie Fuentes
Behavior Technician in Deerfield Beach, FL. Individual provider (NPI-1).
NPI number1043779481
StatusActive
Last updated in NPPESMar 15, 2019
Details
- NPI
- 1043779481
- Entity type
- Individual (NPI-1)
- Name
- Nicole Marie Fuentes
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 15, 2019
- Last updated
- Mar 15, 2019
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 |
Other names
- Nicole Marie Engelman (Former Name)
Practice location
500 Fairway Dr Ste 102Deerfield Beach, FL 33441-1817
Phone 888-880-9270
Mailing address
500 Fairway Dr Ste 102Deerfield Beach, FL 33441-1817
Phone 888-880-9270
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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