Organization
RENEW BEHAVIOR SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE HICKMAN BCBA (OWNER/BCBA)
(812) 569-4884
Entity
Organization
Contact information
Practice address
524 N ELM ST, SEYMOUR, IN 47274-1902
(812) 569-4884
Mailing address
524 N ELM ST, SEYMOUR, IN 47274-1902
(812) 569-4884
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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