Individual
SHATEVIA SIMPSON HICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
56 SWALLOW LN, BRENTWOOD, NY 11717
(516) 710-5944
Mailing address
56 SWALLOW LN, BRENTWOOD, NY 11717-1341
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
Other
Enumeration date
09/25/2017
Last updated
05/11/2023
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