Individual provider · NPI-1
Tammy Hickman
Behavior Technician · Farmington Hills, MI
NPI number1306385505
StatusActive
Last updated in NPPESApr 2, 2024
Details
- NPI
- 1306385505
- Entity type
- Individual (NPI-1)
- Name
- Tammy Hickman
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 21, 2017
- Certification date
- Apr 2, 2024
- Last updated
- Apr 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 175T00000X | Peer Specialist | THW000000661 | OR |
Practice location
27777 Inkster Rd Ste 100Farmington Hills, MI 48334-5312
Phone 248-436-4400 · Fax 503-815-1870
Mailing address
27777 Inkster Rd Ste 100Farmington Hills, MI 48334-5312
Phone 248-436-4400 · Fax 503-815-1870
Other practice locations
906 Main Ave
Tillamook, OR 97141-3816
Tillamook, OR 97141-3816
Phone 503-842-8201 · Fax 503-815-1870
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