Active NPI
Renee Marie McCroskey, RBT
- Behavior Technician
- Virginia Beach, VA
National Provider Identifier
1912599846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RT21155620
- Practice address
- 293 Independence Blvd Ste 400
Virginia Beach, VA 23462-5461 - Phone
- (757) 490-4767
- NPI assigned
- Feb 11, 2021
- Last updated
- Feb 12, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 45659 | VA | |
| Behavior Technician | 106S00000X | RT21155620 | VA | Primary |
Addresses
Primary practice location
293 Independence Blvd Ste 400
Virginia Beach, VA 23462-5461
Mailing address
969 Aspen Dr
Virginia Beach, VA 23464-3938
Phone (757) 581-3974
Other names 1
- Renee Marie Favire
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT21155620 | VA | MD | Behavior Technician |
| 45659 | VA | MD | Recreation Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613088000000",
"number": "1912599846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "969 ASPEN DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234643938",
"telephone_number": "757-581-3974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "293 INDEPENDENCE BLVD STE 400",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234625461",
"telephone_number": "757-490-4767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCROSKEY",
"first_name": "RENEE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-11",
"last_updated": "2021-02-12",
"certification_date": "2021-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "VA",
"license": "45659",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "VA",
"license": "RT21155620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RENEE",
"last_name": "FAVIRE",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.