Matthew Hickman, RBT
Counselor, Mental Health in Neptune Beach, FL. Individual provider (NPI-1).
NPI number1144707753
StatusActive
Last updated in NPPESJul 26, 2018
Details
- NPI
- 1144707753
- Entity type
- Individual (NPI-1)
- Name
- Matthew Hickman
- Credential
- RBT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 26, 2018
- Last updated
- Jul 26, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 106S00000X | Behavior Technician | RBT-18-61519 | FL |
Practice location
804 3rd St Suite AbNeptune Beach, FL 32266
Phone 904-701-2926
Mailing address
2111 Fordham Cir NJacksonville, FL 32217-9121
Phone 912-667-9007
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