Healthcare Provider Details

I. General information

NPI: 1316774755
Provider Name (Legal Business Name): ANNA NICOLLE GIOSI BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MISS ANNA GETZINGER

II. Dates (important events)

Enumeration Date: 09/18/2024
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 TECHNOLOGY CENTER DR STE 110
STOUGHTON MA
02072-4721
US

IV. Provider business mailing address

14 ROBERT AVE
WHITMAN MA
02382-1422
US

V. Phone/Fax

Practice location:
  • Phone: 781-290-3886
  • Fax:
Mailing address:
  • Phone: 781-771-9445
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: