Individual
BENJAMIN CICCHILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 COMMERCE DR, WYOMISSING, PA 19610-3335
(484) 965-9966
(484) 231-8631
Mailing address
640 FREEDOM BUSINESS CTR DR STE 220, KING OF PRUSSIA, PA 19406-1376
(484) 965-9966
(484) 231-8631
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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