Individual
AUSTIN PUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
501 GRANARY RD, FOREST HILL, MD 21050-3042
(888) 589-1524
(888) 589-1524
Mailing address
356C BROAD STREET, 3RD FLOOR, ATTN REBECCA KHALIL, FITCHBURG, MA 01420
(978) 732-3982
(888) 900-0128
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-118616
MD
Other
Enumeration date
06/05/2020
Last updated
06/05/2020
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