Jenna Hicken

NPI #1023555752 in Portage, Michigan

Provider Information

NPI Number: 1023555752
Entity Type: Individual
Name: Jenna Hicken
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 19, 2017
Last Updated: Jan 19, 2017

Practice Location

Address: 9616 PORTAGE RD
City: Portage
State: Michigan
ZIP Code: 49002-7257
Phone: (269) 250-8200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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