Individual
QUINCY ROSE HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5440 W SAHARA AVE STE 300, LAS VEGAS, NV 89146-0361
(702) 986-9256
Mailing address
5440 W SAHARA AVE STE 300, LAS VEGAS, NV 89146-0361
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1208084
NV
Other
Enumeration date
01/15/2025
Last updated
01/17/2025
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