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NPI Code Detail

MEDICARE: KATHERINE ANNE CUCINOTTA

MEDICARE: KATHERINE ANNE CUCINOTTA
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
1103K00000XBehavior Analyst15BC00362500NJ
2103K00000XBehavior Analyst1-25-79424WV

General Provider Information

NPI Number : 1790676757
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE ANNE CUCINOTTA
Provider Business Mailing Address
First Line : 1920 BRIARCLIFF RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30329-4010
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1920 BRIARCLIFF RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30329-4010
Country : US
Telephone Number : 404-785-9350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2025
Last Update Date : 05/11/2026

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Directions to “ KATHERINE ANNE CUCINOTTA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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