MRS. THERESA PROVENZANO – Behavior Analyst, NPI 1568989416
Behavior Analyst
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MRS. THERESA PROVENZANO
175 MIDDLE ST UNIT 1201
LAKE MARY, FL 327463625
Phone: (866) 610-0580
Type: Mailing
515, Palm Coast Parkway Southwest, Palm Coast, Flagler County, Florida, 32137, United States
PALM COAST, FL 321374739
Phone: (386) 951-3044
Type: Location
1200 CONCORD AVE STE 185
CONCORD, CA 945205006
Phone: (510) 268-8120
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32746)
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