Micucci, Colin Mikail

Micucci, Colin Mikail is an individual health care provider with primary practice located at 50 Donald B Dean Dr , South Portland ME 04106-3373. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Micucci, Colin Mikail can be contacted via phone (207) 274-2528.

Contact Information

Primary practice address
50 Donald B Dean Dr South Portland ME 04106-3373
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 3181368 Maine

Profile Details

NPI number 1508606161
LBN Legal business name Micucci, Colin Mikail
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2024
Last updated May 30th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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