Provider Demographics
NPI:1801391529
Name:GIAMBRONE, RENEE M (RENEE AGOSTINI)
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:M
Last Name:GIAMBRONE
Suffix:
Gender:F
Credentials:RENEE AGOSTINI
Other - Prefix:
Other - First Name:RENEE
Other - Middle Name:MARGOT
Other - Last Name:GIAMBRONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COGGINS
Mailing Address - Street 1:110 RYAN INDUSTRIAL CT # 34
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-1592
Mailing Address - Country:US
Mailing Address - Phone:844-467-7763
Mailing Address - Fax:
Practice Address - Street 1:110 RYAN INDUSTRIAL CT
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-1592
Practice Address - Country:US
Practice Address - Phone:844-467-7763
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-26
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst