Individual
LENISE TAMARA HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9457 ALMA RIDGE AVE, LAS VEGAS, NV 89178
(215) 301-8083
Mailing address
9457 ALMA RIDGE AVE, LAS VEGAS, NV 89178
(215) 301-8083
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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