Individual
SHERRY ANN HICKMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
107 SOUTHERN BLVD, SAVANNAH, GA 31405-7437
(800) 844-1232
Mailing address
107 SOUTHERN BLVD, SAVANNAH, GA 31405-7437
(800) 844-1232
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-47772
GA
106E00000X
Assistant Behavior Analyst
0167254
GA
Other
Enumeration date
12/04/2019
Last updated
02/19/2021
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