Joanna Rae Maggiacomo, BT

NPI #1770107781 in Covington, Washington

Provider Information

NPI Number
1770107781
Entity Type
Individual
Name
Joanna Rae Maggiacomo, BT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Technician
Credential
BT
Enumeration Date
Jun 4, 2020
Last Updated
Jun 4, 2020

Practice Location

Address
27023 164TH AVE SE
ZIP Code
98042-8241
Phone
(253) 631-0808

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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