Tatyana Hickman
Behavior Technician in Cornelius, NC. Individual provider (NPI-1).
NPI number1114697182
StatusActive
Last updated in NPPESSep 20, 2021
Details
- NPI
- 1114697182
- Entity type
- Individual (NPI-1)
- Name
- Tatyana Hickman
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 20, 2021
- Certification date
- Sep 20, 2021
- Last updated
- Sep 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
19615 Liverpool Pkwy Ste BCornelius, NC 28031-4075
Phone 818-241-6780
Mailing address
1055 E Colorado Blvd Ste 560Pasadena, CA 91106-2380
Phone 818-241-6780
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All 79 Behavior Technician providers in Cornelius · All 942 providers in Cornelius
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