Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Reva Diane Ullom

Individual provider Behavior Technician · NPI 1063068807

Mrs. Reva Diane Ullom is a Behavior Technician in Bridgeport, Ohio. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

68583 Scott St
Bridgeport, OH 43912
Phone: (740) 298-7078
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1063068807
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 16, 2019
Last updated in NPPESAugust 16, 2019

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