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Amber Hickman

Behavior Technician in Wildomar, CA. Individual provider (NPI-1).

NPI number1164093456
StatusActive
Last updated in NPPESSep 5, 2023

Details

NPI
1164093456
Entity type
Individual (NPI-1)
Name
Amber Hickman
Sex
Female
Sole proprietor
No
Enumeration date
Jul 7, 2021
Certification date
Sep 5, 2023
Last updated
Sep 5, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

32395 Clinton Keith Rd Ste B12
Wildomar, CA 92595-7568

Phone 951-200-5532

Mailing address

32395 Clinton Keith Rd Ste B12
Wildomar, CA 92595-7568

Phone 951-200-5532

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