Individual
ASHLEY VICKERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4760 HICKORY CREEK DR APT 2, UNIVERSITY PARK, IL 60484-3099
(708) 926-4170
Mailing address
4760 HICKORY CREEK DR APT 2, UNIVERSITY PARK, IL 60484-3099
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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