MEDICARE: EMILY ELIZABETH MACCIA MED

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	103K00000X	Behavior Analyst	BH005048	PA

General Provider Information

NPI Number	:	1477164150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY ELIZABETH MACCIA MED

Provider Business Mailing Address
First Line	:	3109 FORBES AVE STE 100
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15213-3010
Country	:	US
Telephone Number	:	412-684-2220
Fax Number	:

Provider Business Practice Location Address
First Line	:	3109 FORBES AVE STE 100
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15213-3010
Country	:	US
Telephone Number	:	412-684-2220
Fax Number	:

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

Provider Enumeration Date	:	08/14/2020
Last Update Date	:	08/14/2020

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Directions to “ EMILY ELIZABETH MACCIA MED” Practice Location

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