Individual
MARIO MAGNOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
1300 SHADYSIDE RD, DOWNINGTOWN, PA 19335-3809
(484) 506-1543
Mailing address
1300 SHADYSIDE RD, DOWNINGTOWN, PA 19335-3809
(484) 506-1543
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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