Individual
TITO RAVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASE MANAGER
Contact information
Practice address
1301 MUSEUM RD, CONWAY, AR 72032-4739
(501) 358-6535
(501) 358-6536
Mailing address
1301 MUSEUM RD, CONWAY, AR 72032-4739
(501) 358-6535
(501) 358-6536
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-293969
AR
171M00000X
Case Manager/Care Coordinator
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Other
Enumeration date
08/08/2018
Last updated
04/10/2026
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