Individual
JACQUELIN ANN HICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
37 OSBORN ST, KEYPORT, NJ 07735-1514
(732) 264-1947
Mailing address
37 OSBORN ST, KEYPORT, NJ 07735-1514
(732) 264-1947
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BCBA 1-03-1113
NY
Other
Enumeration date
06/29/2009
Last updated
06/29/2009
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