Individual
JOSIE HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17210 MIDLAND DR, SHAWNEE, KS 66217-8901
(913) 777-9718
Mailing address
17210 MIDLAND DR, SHAWNEE, KS 66217-8901
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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