Jayna Hickox

NPI #1003470253 in Kentwood, Michigan

Provider Information

NPI Number: 1003470253
Entity Type: Individual
Name: Jayna Hickox
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Apr 23, 2019
Last Updated: Apr 23, 2019

Practice Location

Address: 3361 36TH ST SE
City: Kentwood
State: Michigan
ZIP Code: 49512-2809

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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