Provider Demographics
NPI:1609767540
Name:DENIS CASANOVA, NEILIN (RBT-24-382680)
Entity type:Individual
Prefix:
First Name:NEILIN
Middle Name:
Last Name:DENIS CASANOVA
Suffix:
Gender:F
Credentials:RBT-24-382680
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2609 28TH ST SW
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33976-4007
Mailing Address - Country:US
Mailing Address - Phone:305-951-0944
Mailing Address - Fax:
Practice Address - Street 1:2609 28TH ST SW
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33976-4007
Practice Address - Country:US
Practice Address - Phone:305-951-0944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-382680106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician