Provider Demographics
NPI:1801772959
Name:RAPPAZZO, CAMILLE LUCIANNE (RBT)
Entity type:Individual
Prefix:MRS
First Name:CAMILLE
Middle Name:LUCIANNE
Last Name:RAPPAZZO
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 ROSALIA DR FL USA
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-7124
Mailing Address - Country:US
Mailing Address - Phone:321-420-3578
Mailing Address - Fax:
Practice Address - Street 1:5739 BYRON ANTHONY PL STE 1001
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-8638
Practice Address - Country:US
Practice Address - Phone:321-483-7880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-458384106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician