Individual
OMIKA BICKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
713 W 6TH ST, BOGALUSA, LA 70427-7042
(985) 205-0490
(985) 205-0490
Mailing address
512 E 6TH ST, BOGALUSA, LA 70427-4706
(985) 205-0490
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/24/2017
Last updated
03/17/2018
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