Individual
CRAIG DEVINCENZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1435 AURORA RD, MELBOURNE, FL 32935-5315
(321) 977-0840
Mailing address
1435 AURORA RD, MELBOURNE, FL 32935-5315
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
010074-01
NY
101YM0800X
Mental Health Counselor
37PC01141400
NJ
101YM0800X
Mental Health Counselor
MH21855
FL
101YP2500X
Professional Counselor
37PC01141400
NJ
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/30/2014
Last updated
05/15/2025
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