Active NPIIndividual provider

Mr. Michael Civitello

Behavior Technician in Uncasville, Connecticut

NPI Number1407540495
Practice location
912 Norwich New London Tpke Ste 5, Uncasville, CT 06382-1908
Fax
860-848-0523
Last updated
June 5, 2023

Michael Civitello is a Behavior Technician based in Uncasville, CT. Michael Civitello practices in Uncasville, CT. The NPI Number for Michael Civitello is 1407540495. The current practice location address for Michael Civitello is 912 Norwich New London Tpke Ste 5, Uncasville, CT 06382-1908 and can be reached out via phone at 860-848-0514 and via fax at 860-848-0523.

Provider Profile Details

NPI Number
1407540495
Provider Name
Michael Civitello
Provider Entity Type
Individual
Gender
Male
Address
912 Norwich New London Tpke Ste 5, Uncasville, CT 06382-1908
Phone Number
860-848-0514
Fax Number
860-848-0523
Primary Taxonomy
Behavior Technician · 106S00000X
Sole Proprietor
No
Provider Enumeration Date
June 5, 2023
Last Update Date
June 5, 2023
Certification Date
June 5, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
912 Norwich New London Tpke Ste 5
Uncasville, CT 06382-1908
Zip
06382-1908
Phone Number
860-848-0514
Fax Number
860-848-0523
Uncasville, CT 06382Get directions →

Provider Business Mailing Address Details

Address
912 Norwich New London Tpke Ste 5
Uncasville, CT 06382-1908
City
Uncasville
State
CT
Zip
06382-1908
Phone Number
860-848-0514
Fax Number
860-848-0523

License Information

Taxonomy
Behavior Technician · 106S00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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. Michael Civitello?

The NPI number of Mr. Michael Civitello is 1407540495. It was assigned on June 5, 2023 and is currently active in the NPPES registry.

What is the specialty of Mr. Michael Civitello?

Mr. Michael Civitello is registered under the primary taxonomy Behavior Technician (code 106S00000X).

Where does Mr. Michael Civitello practice?

The practice location is 912 Norwich New London Tpke Ste 5, Uncasville, CT 06382-1908. The office can be reached at 860-848-0514 (phone) or 860-848-0523 (fax).

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 1407540495 directly on the NPPES registry website.

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