Individual
SABRINA HICKENBOTTOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24120 147TH RD, ROSEDALE, NY 11422-3277
(646) 331-6060
Mailing address
24120 147TH RD, ROSEDALE, NY 11422-3277
(646) 331-6060
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1335737191
NY
Other
Enumeration date
07/31/2019
Last updated
04/07/2026
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