Provider Demographics
NPI:1083302228
Name:CRESPO, NAYLENE (RBT)
Entity Type:Individual
Prefix:
First Name:NAYLENE
Middle Name:
Last Name:CRESPO
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5217 W 22ND CT APT 205
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-7051
Mailing Address - Country:US
Mailing Address - Phone:786-302-9811
Mailing Address - Fax:
Practice Address - Street 1:5217 W 22ND CT APT 205
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-7051
Practice Address - Country:US
Practice Address - Phone:786-302-9811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-26
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-23-260731106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician