IndividualActive
Coreena Behnke
NPI 1720770365 · Early Intervention Provider Agency · Portland, ME
Provider details
- NPI number
- 1720770365
- Entity type
- Individual
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
- License
- 328550 (ME)
Specialties & taxonomies
Agencies
Practice location
1011 Forest Ave
Portland, ME 04103-3304
Phone: (207) 781-8881
Approximate (ZIP-level) locationGet directions
Mailing address
5 Colonial Dr
Raymond, ME 04071-6042
Registry dates
- Enumerated
- 2023-05-23
- Last updated
- 2023-05-23
- Certified
- 2023-05-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.