Individual
BRIAN JOSEPH PAGANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 LOWER STATE RD APT 13B3, NORTH WALES, PA 19454-2104
(126) 773-6113
Mailing address
700 LOWER STATE RD APT 13B3, NORTH WALES, PA 19454-2104
(126) 773-6113
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/18/2022
Last updated
07/26/2024
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