Individual
DALTON HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
3777 HALEY DR, NEWBURGH, IN 47630-2608
(812) 490-0905
Mailing address
3009 ATCHESON DR, EVANSVILLE, IN 47725-0011
(812) 463-2117
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-75252
IN
Other
Enumeration date
08/29/2023
Last updated
04/02/2026
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