Individual
HOLLY ANN DICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
938 ELMA G MILES PKWY, HINESVILLE, GA 31313-4515
(912) 294-4055
(866) 467-4321
Mailing address
938 ELMA G MILES PKWY, HINESVILLE, GA 31313-4515
(912) 294-4055
(866) 467-4321
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
20-122608
GA
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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