Individual
DE ANNA NAKIA HICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 CHURCH ST, PHILADELPHIA, PA 19106-2201
(863) 370-6344
Mailing address
325 W SECOND ST APT A, MEDIA, PA 19063-2301
(610) 883-7635
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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