Crivello, Renee

Crivello, Renee is an sole proprietor health care provider with primary practice located at 12871 Trade Way Dr Ste 1 , Bonita Springs FL 34135-7334. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Crivello, Renee can be contacted via phone (786) 259-0363.

Contact Information

Primary practice address
12871 Trade Way Dr Ste 1 Bonita Springs FL 34135-7334
Phone: (786) 259-0363
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-21-47478

Profile Details

NPI number 1104227438
LBN Legal business name Crivello, Renee
Credentials BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 5th, 2014
Last updated May 18th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1104227438 NPPES
Florida MEDICAID 017567400

Popular Providers