Individual
HANNAH HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
245 S ACADEMY BLVD, COLORADO SPRINGS, CO 80910-2713
(719) 691-1442
Mailing address
104 W OLD BROADMOOR RD, COLORADO SPRINGS, CO 80906-3336
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-164143
CO
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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