Individual
DAWN MARIE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
211 WALCOTT ST, WOOD RIVER, IL 62095-1441
(314) 757-1724
Mailing address
211 WALCOTT ST, WOOD RIVER, IL 62095-1441
(314) 757-1724
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/02/2021
Last updated
06/05/2023
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