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Individual
MICHAEL ROCCO MAGNOTTA
Active
Individual
MICHAEL ROCCO MAGNOTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCABA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1283
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-21-53025
BOARD CERTIFIED BEHAVIOR ANALYST
CT
Enumeration date
02/28/2020
Last updated
02/07/2022
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