Renee Crivello, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-47478

Practice address

12871 Trade Way Dr Ste 1
Bonita Springs, FL 34135-7334

Phone

(786) 259-0363

NPI assigned

Sep 5, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Learning Without Limits LLC

  • Behavior Analyst
  • Naples, FL
  • NPI 1932756012
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1104227438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26676 MORTON AVE",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341356308",
            "telephone_number": "908-451-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12871 TRADE WAY DR STE 1",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341357334",
            "telephone_number": "786-259-0363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4575 SE Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349976826",
            "country_code": "US",
            "telephone_number": "855-832-6727",
            "fax_number": "772-675-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRIVELLO",
        "first_name": "RENEE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-05",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-21-47478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017567400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Lynn Couillard, DMD
• Kelsey Diane Craft, PA-C
• Bennett Crawford, CCC-SLP
• Creative Island Therapy, LLC
• Evelyn Critchfield, D.M.D
• Stephen Conrad Crouse, D.D.S.
• Athziri Stephanie Cruz
• Lilyann Cubero, DDS
• Viviana Carolina Cuberos-Orozco, MD
• James KT Cullen, DMD

• Behavior Analyst in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.