Healthcare Provider Details

I. General information

NPI: 1184510216
Provider Name (Legal Business Name): ISABELLA ROVITO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2025
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1355 CRYSTAL WAY APT 102
DELRAY BEACH FL
33444-1070
US

IV. Provider business mailing address

1355 CRYSTAL WAY APT 102
DELRAY BEACH FL
33444-1070
US

V. Phone/Fax

Practice location:
  • Phone: 862-208-9684
  • Fax:
Mailing address:
  • Phone: 862-208-9684
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number25-1055-958697
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: