Individual
BAYLEE MARIE HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4515 E 91ST ST # 201, TULSA, OK 74137-2810
(918) 730-9123
Mailing address
4515 E 91ST ST # 201, TULSA, OK 74137-2810
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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