Michael Gennaco
Behavior Analyst in Portland, ME. Individual provider (NPI-1).
NPI number1508724006
StatusActive
Last updated in NPPESJan 13, 2026
Details
- NPI
- 1508724006
- Entity type
- Individual (NPI-1)
- Name
- Michael Gennaco
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 13, 2026
- Certification date
- Jan 13, 2026
- Last updated
- Jan 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-24-74050 | ME | Yes |
Practice location
1250 Forest Ave Ste 301Portland, ME 04103-1884
Phone 888-477-3324
Mailing address
42 Destinee Ln Unit BNaples, ME 04055-3157
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