Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. COLIN MIKAIL MICUCCI
ActiveBehavior Technician · SOUTH PORTLAND, ME
Registration Details
- NPI Number
- 1508606161
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 30, 2024 (1.9138122039069 yrs)
- Last Updated
- May 30, 2024
- License
-
3181368 (ME)
Practice Information
- Address
-
50 DONALD B DEAN DRSOUTH PORTLAND, ME, 041063373Browse ME providers · Browse ZIP 04106
- Phone
- 2072742528
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in SOUTH PORTLAND, ME
| Name | Credential | NPI |
|---|---|---|
| TYLER JESSE DOYON | — | 1295380251 |
| BRIANNE MCINNIS | — | 1235785346 |
| ELIZABETH RUTH VAILLANCOURT POULTNEY | — | 1619527066 |
| CLARA CASSIDY | — | 1568013936 |
| CHRISTOPHER W LAROSE | — | 1346851623 |
| KASSIDY TEMM | — | 1629674825 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.