Individual
ABIGAIL KATHLEEN CICCOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 WASHINGTON ST STE P55, NORWELL, MA 02061-1742
(781) 290-3886
Mailing address
80 WASHINGTON ST STE P55, NORWELL, MA 02061-1742
(781) 290-3886
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2237
MA
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
07/09/2014
Last updated
08/17/2021
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