Individual
ADRIANNA JOZAY HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
218 ABAJO RD SE, ALBUQUERQUE, NM 87102-5142
(505) 415-8544
Mailing address
218 ABAJO RD SE, ALBUQUERQUE, NM 87102-5142
(505) 415-8544
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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