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Individual

AMY NICOLE WICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., BCBA

Contact information

Practice address
3101 MAGIC HOLLOW BLVD, VIRGINIA BEACH, VA 23453-1632
(757) 639-2218
Mailing address
3101 MAGIC HOLLOW BLVD, VIRGINIA BEACH, VA 23453
(757) 639-2218

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001186
VA
103K00000X
Behavior Analyst
1-10-7212
MA
103K00000X
Behavior Analyst

Other

Enumeration date
04/06/2011
Last updated
08/01/2019
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