Provider Demographics
NPI:1184371221
Name:RENEAU, ALEYNA M
Entity type:Individual
Prefix:
First Name:ALEYNA
Middle Name:M
Last Name:RENEAU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12403 W TUFTS AVE
Mailing Address - Street 2:
Mailing Address - City:MORRISON
Mailing Address - State:CO
Mailing Address - Zip Code:80465-1743
Mailing Address - Country:US
Mailing Address - Phone:720-301-0703
Mailing Address - Fax:
Practice Address - Street 1:12403 W TUFTS AVE
Practice Address - Street 2:
Practice Address - City:MORRISON
Practice Address - State:CO
Practice Address - Zip Code:80465-1743
Practice Address - Country:US
Practice Address - Phone:720-520-4267
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-08
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician