Provider Demographics
NPI:1447135132
Name:CLAVEL, MARNIE ISABELLA
Entity type:Individual
Prefix:
First Name:MARNIE
Middle Name:ISABELLA
Last Name:CLAVEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:547 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:REVERE
Mailing Address - State:MA
Mailing Address - Zip Code:02151-1962
Mailing Address - Country:US
Mailing Address - Phone:781-558-3578
Mailing Address - Fax:
Practice Address - Street 1:547 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:REVERE
Practice Address - State:MA
Practice Address - Zip Code:02151-1962
Practice Address - Country:US
Practice Address - Phone:781-558-3578
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician