Individual
HALI HICKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
981 E 3665 S, S SALT LAKE, UT 84106-4722
(435) 862-9586
Mailing address
515 S 700 E, SALT LAKE CITY, UT 84102-2801
(801) 935-4171
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-56962
UT
Other
Enumeration date
06/09/2018
Last updated
06/09/2018
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