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NPI Code Detail

MEDICARE: ANNALISE GIAMANCO

MEDICARE: ANNALISE GIAMANCO
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 Analyst1798NC

General Provider Information

NPI Number : 1831796044
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNALISE GIAMANCO
Provider Business Mailing Address
First Line : 3496 WALNUT VW
Second Line :
City : BYRNES MILL
State : MO
Zip : 63049-2902
Country : US
Telephone Number : 314-604-4064
Fax Number :
Provider Business Practice Location Address
First Line : 2730 ROZZELLES FERRY RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28208-3233
Country : US
Telephone Number : 877-418-2978
Fax Number : 866-500-2186
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2020
Last Update Date : 04/15/2026

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