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Individual
BENJAMIN CICCHILLO
Active
Individual
BENJAMIN CICCHILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH006333
PA
106S00000X
Behavior Technician
RBT-20-118982
PA
Other
Enumeration date
08/04/2022
Last updated
03/27/2023
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