Provider Demographics
NPI:1609643048
Name:FAINT, SERENA (RBT)
Entity Type:Individual
Prefix:
First Name:SERENA
Middle Name:
Last Name:FAINT
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:SERENA
Other - Middle Name:
Other - Last Name:FAINT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RBT
Mailing Address - Street 1:210 ROB ROY DR
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-2459
Mailing Address - Country:US
Mailing Address - Phone:352-818-3762
Mailing Address - Fax:
Practice Address - Street 1:516 S DILLARD ST STE 104
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-3585
Practice Address - Country:US
Practice Address - Phone:407-347-0123
Practice Address - Fax:208-693-4755
Is Sole Proprietor?:No
Enumeration Date:2023-12-06
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician