Individual
CIARA MICACCHIONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
15 10TH AVE, SHALIMAR, FL 32579-1340
(850) 362-6824
(850) 362-6826
Mailing address
15 10TH AVE, SHALIMAR, FL 32579-1340
(850) 362-6824
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-79280
—
106S00000X
Behavior Technician
RBT-18-56386
FL
Other
Enumeration date
05/22/2018
Last updated
02/14/2025
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