| Gerald Pucillo Applied Behavior Analyst, P.c. | |
|
875 Page Ave Lewiston NY 14092-1426 | |
| (716) 316-5069 | |
| Not Available |
| Full Name | Gerald Pucillo Applied Behavior Analyst, P.c. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 875 Page Ave, Lewiston, New York |
| Authorized Official Name and Position | Gerald A Pucillo (OWNER) |
| Authorized Official Contact | 7163165069 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerald Pucillo Applied Behavior Analyst, P.c. 875 Page Ave Lewiston NY 14092-1426 Ph: (716) 316-5069 | Gerald Pucillo Applied Behavior Analyst, P.c. 875 Page Ave Lewiston NY 14092-1426 Ph: (716) 316-5069 |
| NPI Number | 1144830944 |
|---|---|
| Provider Enumeration Date | 08/06/2020 |
| Last Update Date | 08/06/2020 |
| Certification Date | 08/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144830944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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