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Individual

MICHAEL VINCENT HICKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S., M.A., BCBA

Contact information

Practice address
9260 MARKETPLACE DR, MIAMISBURG, OH 45342-4478
(937) 388-5110
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(317) 449-4833
(317) 520-8200

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
12/07/2018
Last updated
12/07/2018
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