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Individual

MARIO V RITACCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
275 W NATICK RD STE 400, WARWICK, RI 02886-1161
(401) 826-8875
(401) 826-8926
Mailing address
275 W NATICK RD STE 400, WARWICK, RI 02886-1161
(401) 826-8875
(401) 826-8926

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA00342
RI
106S00000X
Behavior Technician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
LBA00342
RI
Enumeration date
06/14/2019
Last updated
01/12/2023
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