Individual
NANCY HICKOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSL
Contact information
Practice address
335 S FRANKLIN ST, WILKES BARRE, PA 18702-3808
(570) 825-6425
Mailing address
121 STATE ST, NICHOLSON, PA 18446-8210
(570) 825-6425
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH002090
PA
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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