Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rena Shea Dixon

Individual provider Behavior Technician · NPI 1104608389

Rena Shea Dixon is a Behavior Technician in Mastic Beach, New York. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

19 Pineway Ave
Mastic Beach, NY 11951-1318
Phone: (860) 797-5554
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1104608389
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 20, 2023
Last updated in NPPESOctober 20, 2023
Certification dateOctober 20, 2023
Mailing address19 Pineway Ave, Mastic Beach, NY 11951-1318

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