Individual
MADISON HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
825 S ALMA SCHOOL RD APT 218, MESA, AZ 85210-2029
(623) 307-3605
Mailing address
825 S ALMA SCHOOL RD APT 218, MESA, AZ 85210-2029
(623) 307-3605
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-453085
AZ
Other
Enumeration date
05/28/2026
Last updated
05/28/2026
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