Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508724006 Individual Practitioner Male Practitioner

Michael Gennaco

Behavior Analyst • Portland, ME

Professional Overview & Biography Verified Profile Summary

Michael Gennaco is a registered healthcare professional specializing in Behavior Analyst in Portland, ME. Practice services are available at 1250 FOREST AVE STE 301 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1250 Forest Ave Ste 301

Portland, ME 041031884

Telephone 8884773324
Associated Practice Facility / Clinic
🏢 Hammond Associates Inc Facility NPI 1457387904

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Portland, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
20 Specialists

Practicing in Portland, ME (155 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-01-13
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License ME 1-24-74050

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
Dr. Christina Mimikos , DO

Otolaryngology - Otolaryngology/Facial Plastic Surgery

NPI 1093944258

Doctor of Osteopathic Medicine (D.O.)

NPI 1114152600

Doctor of Philosophy (Ph.D.)

Ellie Lewis

Speech-Language Pathologist

NPI 1184512550
Melena Rosales , CCC-SLP

Speech-Language Pathologist

NPI 1245124627

Speech-Language Pathologist (Certificate of Clinical Competence)

Alma Mackay , MA, CF-SLP

Speech-Language Pathologist

NPI 1285473579

Master of Arts, Clinical Fellow in Speech-Language Pathology

Julia Lachance , CCC-SLP

Speech-Language Pathologist

NPI 1316640105

Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 13, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location January 13, 2026

Registered at 1250 FOREST AVE STE 301, PORTLAND, ME 041031884 (Tel: 8884773324)

📍
Updated Business Mailing Address January 13, 2026

Registered at 42 DESTINEE LN UNIT B, NAPLES, ME 040553157

👤
Provider Name / Credentials Updated January 13, 2026

Recorded as MICHAEL GENNACO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2026

Behavior Analyst (License #1-24-74050 in ME)

🟢
Initial NPI Registration & Enumeration January 13, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508724006
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 13, 2026
Last Update: January 13, 2026
Sole Proprietor: Yes

Mailing Address

42 Destinee Ln Unit B

Naples, ME 040553157

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.