Individual
MICHAEL GENNACO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1250 FOREST AVE STE 301, PORTLAND, ME 04103-1884
(888) 477-3324
Mailing address
42 DESTINEE LN UNIT B, NAPLES, ME 04055-3157
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-74050
ME
Other
Enumeration date
01/13/2026
Last updated
01/13/2026
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