Individual provider · Type 1 NPI

Michael Gennaco

Behavior Analyst · Portland, ME

NPI number 1508724006 Active

Practice location

1250 Forest Ave Ste 301
Portland, ME 04103-1884

Call (888) 477-3324 Map

Mailing address

42 Destinee Ln Unit B
Naples, ME 04055-3157

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000X1-24-74050 (ME)

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1508724006

Michael Gennaco's National Provider Identifier is 1508724006, issued on Jan 13, 2026. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Portland, ME. The record was last updated on Jan 13, 2026.