Individual
MRS. JULIE BARTLETT HICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., B.C.B.A., L.B.
Contact information
Practice address
28081 N WELTON PL, SAN TAN VALLEY, AZ 85143-5859
(916) 397-4045
Mailing address
28081 N WELTON PL, SAN TAN VALLEY, AZ 85143-5859
(916) 397-4045
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-000622
AZ
Other
Enumeration date
05/04/2016
Last updated
04/18/2022
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