Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL GENNACO
Active Sole ProprietorMICHAEL GENNACO is a Behavior Analyst healthcare provider located in PORTLAND, Maine. NPI 1508724006 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · PORTLAND, ME
Registration Details
- NPI Number
- 1508724006
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 13, 2026 (0.56021465682566 yrs)
- Last Updated
- Jan 13, 2026
- License
-
1-24-74050 (ME)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1250 FOREST AVE STE 301PORTLAND, ME, 041031884Browse ME providers · Browse ZIP 04103
- Phone
- 8884773324
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in PORTLAND, ME
| Name | Credential | NPI |
|---|---|---|
| KELLY A PELLETIER | BCBA | 1558648105 |
| ALEKSANDRA IVANOVSKA ROBERSON I | BCABA | 1902264187 |
| LINDSAY PAYEUR | — | 1194279802 |
| LEA MCDONALD | M.S. | 1497203772 |
| AUDREY GRINNELL | — | 1639695737 |
| ELYSSA DESCHAINE | BCBA | 1275030975 |
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.