Mark Vincenzo Crevelli
Behavior Analyst
18726 S Western Ave
Gardena
, California 90248-3813
Mark Vincenzo Crevelli
Behavior Analyst
18726 S Western Ave
Gardena
, California 90248-3813
(310) 856-0800
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About
Features
Specialties
- Behavior Analyst
Languages spoken
- English
Location
First Address
- Mark Vincenzo Crevelli
- 18726 S Western Ave
- Gardena, CA
- Zip : 90248-3813
- Phone : (310) 856-0800
Second Address
- Mark Vincenzo Crevelli
- 18726 S Western Ave
- Gardena, CA
- Zip : 90248-3813
- Phone : (310) 856-0800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103K00000X | Behavior Analyst | 1-19-36925 | CA |
National Provider Identifier
| NPI | 1003476243 |
|---|---|
| Provider Name | Mark Vincenzo Crevelli |
| First Address | Gardena, CA 90248-3813 |
| Second Address | Gardena, CA 90248-3813 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/06/2019 |
| Last Update Date | 19/06/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.