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Individual
TRAVIS HICKS
Active
Individual
TRAVIS HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12368983
FL
106S00000X
Behavior Technician
RBT-18-50390
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023034000
—
FL
Enumeration date
06/13/2019
Last updated
06/26/2025
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