Mr. Mark G Iannucci, BCBA
Behavior Analyst in Kingston, Massachusetts
1134978430- Practice location
- 25 Royal Burgundy Ln, Kingston, MA 02364-2279
- Phone
- 339-832-0336
- Fax
- —
- Last updated
- May 19, 2024
Mark Gregory Iannucci is a Behavior Analyst based in Kingston, MA. Mark Gregory Iannucci practices in Kingston, MA and has the professional credentials of BCBA. The NPI Number for Mark Gregory Iannucci is 1134978430 and holds a License No. 1-24-72548 (MA). The current practice location address for Mark Gregory Iannucci is 25 Royal Burgundy Ln, Kingston, MA 02364-2279 and can be reached out via phone at 339-832-0336.
Provider Profile Details
- NPI Number
- 1134978430
- Provider Name
- Mark Gregory Iannucci
- Credential
- BCBA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 25 Royal Burgundy Ln, Kingston, MA 02364-2279
- Phone Number
- 339-832-0336
- Primary Taxonomy
- Behavior Analyst · 103K00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 17, 2024
- Last Update Date
- May 19, 2024
- Certification Date
- May 19, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 25 Royal Burgundy Ln
Kingston, MA 02364-2279 - City
- Kingston
- State
- Massachusetts
- Zip
- 02364-2279
- Phone Number
- 339-832-0336
Provider Business Mailing Address Details
- Address
- 25 Royal Burgundy Ln
Kingston, MA 02364-2279 - City
- Kingston
- State
- MA
- Zip
- 02364-2279
- Phone Number
- 339-832-0336
License Information
- License Number
- 1-24-72548
- License State
- MA
- Taxonomy
- Behavior Analyst · 103K00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Mark G Iannucci, BCBA?
The NPI number of Mr. Mark G Iannucci, BCBA is 1134978430. It was assigned on May 17, 2024 and is currently active in the NPPES registry.
What is the specialty of Mr. Mark G Iannucci, BCBA?
Mr. Mark G Iannucci, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in MA under license number 1-24-72548.
Where does Mr. Mark G Iannucci, BCBA practice?
The practice location is 25 Royal Burgundy Ln, Kingston, MA 02364-2279. The office can be reached at 339-832-0336 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134978430 directly on the NPPES registry website.