Individual
MICHAEL ROCCO MAGNOTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCABA
Contact information
Practice address
326 W MAIN ST STE 210, MILFORD, CT 06460-2560
(203) 283-7027
Mailing address
26 BROAD ST, MILFORD, CT 06460-3350
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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