MEDICARE: MARIE GIANNELLI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1902781172
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIE GIANNELLI

Provider Business Mailing Address
First Line	:	240 LETA DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80911-1441
Country	:	US
Telephone Number	:	217-260-7974
Fax Number	:

Provider Business Practice Location Address
First Line	:	830 TENDERFOOT HILL RD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80906-2314
Country	:	US
Telephone Number	:	888-611-0870
Fax Number	:	888-714-4996

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2025
Last Update Date	:	02/17/2026

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Directions to “ MARIE GIANNELLI ” Practice Location

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