Individual
CARALEE TRI-ANN HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
417 MACE BLVD., STE J #114, DAVIS, CA 95618-6077
(530) 574-0556
Mailing address
417 MACE BLVD., STE J #114, DAVIS, CA 95618-6077
(530) 574-0556
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-49090
CA
Other
Enumeration date
02/23/2018
Last updated
06/23/2021
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