Organization
GERALD PUCILLO APPLIED BEHAVIOR ANALYST, P.C.
Active
Other names
Level-Up Applied Behavior Analysis Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD A PUCILLO M.S. ED., BCBA, LBA (OWNER)
(716) 316-5069
Entity
Organization
Contact information
Practice address
875 PAGE AVE, LEWISTON, NY 14092-1426
(716) 316-5069
Mailing address
875 PAGE AVE, LEWISTON, NY 14092-1426
(716) 316-5069
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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