Healthcare Provider Details

I. General information

NPI: 1932756012
Provider Name (Legal Business Name): LEARNING WITHOUT LIMITS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2019
Last Update Date: 09/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12268 TAMIAMI TRL E STE 303
NAPLES FL
34113-7946
US

IV. Provider business mailing address

26676 MORTON AVE
BONITA SPRINGS FL
34135-6308
US

V. Phone/Fax

Practice location:
  • Phone: 908-451-5480
  • Fax:
Mailing address:
  • Phone: 908-451-5480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: RENEE CRIVELLO
Title or Position: OWNER DIRECTOR BCABA
Credential: BCABA
Phone: 908-451-5480