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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. REVA DIANE ULLOM

Active Sole Proprietor

Behavior Technician · BRIDGEPORT, OH

Registration Details

NPI Number
1063068807
Provider Type
Individual
Gender
Female
NPI Issued
Aug 16, 2019 (6.6908240750954 yrs)
Last Updated
Aug 16, 2019
Sole Proprietor
Yes

Practice Information

Address
68583 SCOTT STREET
BRIDGEPORT, OH, 43912
Browse OH providers · Browse ZIP 43912
Phone
7402987078
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in BRIDGEPORT, OH

Name Credential NPI
SARAH AMELIA HAMILTON 1922515618
TAMMY SUE COX 1427604339
OLIVIA BECKER 1871149617
ARIZONA LEA CUNNINGHAM 1073276838
LAUREN ELIZABETH MINERD 1821785361
MRS. BRANDY MICHELLE MEIGH RBT 1407543036
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.