Individual
IVORIE HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4301 FORBES BLVD STE B, LANHAM, MD 20706-4446
(240) 487-6946
Mailing address
4301 FORBES BLVD STE B, LANHAM, MD 20706-4446
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/12/2017
Last updated
04/21/2021
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