MR. Colin Mikail Micucci

NPI #1508606161 in South Portland, Maine

Provider Information

NPI Number: 1508606161
Entity Type: Individual
Name: MR. Colin Mikail Micucci
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 30, 2024
Last Updated: May 30, 2024

Practice Location

Address: 50 DONALD B DEAN DR
City: South Portland
State: Maine
ZIP Code: 04106-3373
Phone: (207) 274-2528

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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