Individual
ALEXANDRA HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
134 MAIN ST, SOUTH BARRE, MA 01074-7702
(508) 827-9192
Mailing address
134 MAIN ST, SOUTH BARRE, MA 01074-7702
(508) 827-9192
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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