Individual
KYLA HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1109 FAYETTEVILLE RD, VAN BUREN, AR 72956-3363
(479) 474-6444
Mailing address
332 SUNNYSIDE RD, VAN BUREN, AR 72956-7590
(479) 279-3061
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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