Provider Demographics
NPI:1982941852
Name:GIGLIO, DARCI MARIE (MAT, BCBA)
Entity Type:Individual
Prefix:MRS
First Name:DARCI
Middle Name:MARIE
Last Name:GIGLIO
Suffix:
Gender:F
Credentials:MAT, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9514 BELMONT LN
Mailing Address - Street 2:
Mailing Address - City:WAXHAW
Mailing Address - State:NC
Mailing Address - Zip Code:28173-7583
Mailing Address - Country:US
Mailing Address - Phone:704-299-1834
Mailing Address - Fax:
Practice Address - Street 1:9514 BELMONT LN
Practice Address - Street 2:
Practice Address - City:WAXHAW
Practice Address - State:NC
Practice Address - Zip Code:28173-7583
Practice Address - Country:US
Practice Address - Phone:704-299-1834
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-11
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1-11-9223103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst