Provider Demographics
NPI:1639628977
Name:NAVIGATE BEHAVIORS
Entity Type:Organization
Organization Name:NAVIGATE BEHAVIORS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:ELIZABETH BLIVEN
Authorized Official - Last Name:RANDOL
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:401-529-3078
Mailing Address - Street 1:PO BOX 1117
Mailing Address - Street 2:
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-0965
Mailing Address - Country:US
Mailing Address - Phone:401-529-3078
Mailing Address - Fax:
Practice Address - Street 1:324 SHIPPEETOWN RD
Practice Address - Street 2:
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-1118
Practice Address - Country:US
Practice Address - Phone:401-529-3078
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-28
Last Update Date:2016-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015002575251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health