Individual
ANTHONY NELLO GIANNINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
2906 HIGHWAY AVE, HIGHLAND, IN 46322-1631
(219) 513-8311
(708) 479-2112
Mailing address
7258 FOREST AVE, HAMMOND, IN 46324-1842
(219) 614-9553
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-19-103388
IN
224Z00000X
Occupational Therapy Assistant
Primary
057005481
IL
Other
Enumeration date
10/31/2019
Last updated
02/18/2021
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