Mark Vincenzo Crevelli, BCBA

Behavior Analyst · Gardena, CA

Individual Active NPI

NPI number 1003476243

Practice location

18726 S Western Ave
Gardena, CA 90248-3813
Phone
(310) 856-0800

Open in Google Maps

NPI record

NPI
1003476243
Entity type
Individual (Type 1)
Enumeration date
June 19, 2019
Last updated
June 19, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 1-19-36925 CA

About Mark Crevelli

Mark Vincenzo Crevelli, BCBA is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 18726 S Western Ave, Gardena, CA 90248-3813. The NPI number 1003476243 was assigned on June 19, 2019 and the record was last updated on June 19, 2019.

Mark Crevelli lists a license in the registry: #1-19-36925 (CA) for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark Vincenzo Crevelli, BCBA?

The NPI number is 1003476243.

What is the phone number of Mark Crevelli?

The phone number listed for the practice location is (310) 856-0800.

Where is Mark Crevelli located?

18726 S Western Ave, Gardena, CA 90248-3813.

What is the taxonomy code for Mark Crevelli?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Behavior Analyst providers in Gardena

All Behavior Analyst providers in Gardena, CA →