Individual
MADELYN ELIZABETH HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1600 JASON MAXWELL BLVD, LEWISBURG, TN 37091-2018
(931) 359-1197
Mailing address
531 MINKSLIDE RD, SHELBYVILLE, TN 37160-7132
(615) 767-8319
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1531
—
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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