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Organization
WICKETT BEHAVIORAL SOLUTIONS
Active
Organization
WICKETT BEHAVIORAL SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORINNE ELIZABETH WICKETT PH.D. (EXECUTIVE DIRECTOR)
(818) 437-0378
Entity
Organization
Contact information
Practice address
6515 SANDY POINT CT, RANCHO PALOS VERDES, CA 90275-5871
(818) 437-0378
(877) 258-0470
Mailing address
6515 SANDY POINT CT, RANCHO PALOS VERDES, CA 90275-5871
(818) 437-0378
(877) 258-0470
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-05-2207
CA
Other
Enumeration date
03/10/2017
Last updated
05/31/2017
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