Individual
MS. KATLYN DEVON HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBA
Contact information
Practice address
2424 MAGNOLIA AVE, BUENA VISTA, VA 24416-3026
(540) 461-0666
(540) 462-2892
Mailing address
2424 MAGNOLIA AVE, BUENA VISTA, VA 24416-3026
(540) 461-0666
(540) 462-2892
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001227
VA
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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