Individual
AVA CACCIVIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
65 MAOLIS RD, NAHANT, MA 01908-1339
(781) 929-9062
Mailing address
65 MAOLIS RD, NAHANT, MA 01908-1339
(781) 929-9062
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/09/2025
Last updated
05/09/2025
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