Provider Demographics
NPI:1790340248
Name:SPINELLI, CLAUDIA MICHELLE (RBT)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:MICHELLE
Last Name:SPINELLI
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 1:1824 BUNGALOW ROW
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28409-1405
Mailing Address - Country:US
Mailing Address - Phone:704-661-6020
Mailing Address - Fax:
Practice Address - Street 1:16717 US HIGHWAY 17 N STE 204
Practice Address - Street 2:
Practice Address - City:HAMPSTEAD
Practice Address - State:NC
Practice Address - Zip Code:28443-3088
Practice Address - Country:US
Practice Address - Phone:910-599-2230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-09
Last Update Date:2019-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician