Individual
MADELINE JADE XIAO HICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12250 SW PIONEER LN APT 351, BEAVERTON, OR 97008-8341
(503) 999-5077
Mailing address
12250 SW PIONEER LN APT 351, BEAVERTON, OR 97008-8341
(503) 999-5077
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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