Provider Demographics
NPI:1235511767
Name:BELLO, JOANNE (RBT)
Entity Type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:
Last Name:BELLO
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 1:6196 VISTA LINDA LN
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-8225
Mailing Address - Country:US
Mailing Address - Phone:561-929-0228
Mailing Address - Fax:561-620-1802
Practice Address - Street 1:6196 VISTA LINDA LN
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-8225
Practice Address - Country:US
Practice Address - Phone:561-929-0228
Practice Address - Fax:561-620-1802
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-21
Last Update Date:2017-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLBACB315509106S00000X
TXSOMA RPM CERTIFIED174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No174400000XOther Service ProvidersSpecialist