Antony Serticchio
Behavior Analyst
702 E Front Ave
Coeur D Alene
, Idaho 83814-4012
Antony Serticchio
Behavior Analyst
702 E Front Ave
Coeur D Alene
, Idaho 83814-4012
(509) 599-3138
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About
Features
Specialties
- Behavior Analyst
Languages spoken
- English
Location
First Address
- Antony Serticchio
- 2501 E Sherman Ave Apt 198
- Coeur D Alene, ID
- Zip : 83814-5841
- Phone : (509) 599-3138
Second Address
- Antony Serticchio
- 702 E Front Ave
- Coeur D Alene, ID
- Zip : 83814-4012
- Phone : (509) 599-3138
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103K00000X | Behavior Analyst |
National Provider Identifier
| NPI | 1003447988 |
|---|---|
| Provider Name | Antony Serticchio |
| First Address | Coeur D Alene, ID 83814-5841 |
| Second Address | Coeur D Alene, ID 83814-4012 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/01/2020 |
| Last Update Date | 03/02/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.