Kelly Wicks, RBT

NPI #1033703889 in Rapid City, South Dakota

Provider Information

NPI Number: 1033703889
Entity Type: Individual
Name: Kelly Wicks, RBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Feb 23, 2021
Last Updated: Feb 23, 2021

Practice Location

Address: 2475 W CHICAGO ST
City: Rapid City
State: South Dakota
ZIP Code: 57702-2467
Phone: (605) 206-5004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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