Individual provider · Type 1 NPI

Kettia Noel

Developmental Disabilities Clinic/Center · Port St. Lucie, FL

NPI number 1891395430 Active

Practice location

1573 SE Clearbrook St
Port St. Lucie, FL 34983-4050

Mailing address

11582 SW Village Pkwy
Port St. Lucie, FL 34987-2392

Specialties and licenses

TaxonomyCodeLicense
Homemaker 376J00000X237322 (FL)
Adult Companion 372600000XNone listed
Developmental Disabilities Clinic/Center Primary 261QD1600XL20000294693 (FL)

Developmental Disabilities Clinic/Center: An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

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About NPI 1891395430

Kettia Noel's National Provider Identifier is 1891395430, issued on Oct 30, 2020. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Port St. Lucie, FL. The record was last updated on Aug 22, 2026.