Individual
MICHAEL PITTINARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
818 INDUSTRY PLACE, CARBONDALE, CO 81623-2508
(970) 927-3143
Mailing address
818 INDUSTRY WAY, CARBONDALE, CO 81623-2508
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235504184
UNITED BEHAVIORAL HEALTH
CO
05
—
1235675984
—
CO
05
—
81933771
—
CO
Enumeration date
07/05/2017
Last updated
07/05/2017
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