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Individual

AVA REESE CICCARELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1351 E LOWELL AVE, CAVE SPRINGS, AR 72718-8415
(479) 480-8509
Mailing address
1000 SWN DR STE 101, CONWAY, AR 72032-2558
(501) 328-3274
(501) 328-3274

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
05/05/2026
Last updated
05/05/2026
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