Keionni Hicks

NPI #1043097108 in Ypsilanti, Michigan

Provider Information

NPI Number: 1043097108
Entity Type: Individual
Name: Keionni Hicks
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 12, 2023
Last Updated: Aug 16, 2025

Practice Location

Address: 2111 GOLFSIDE RD
City: Ypsilanti
State: Michigan
ZIP Code: 48197-1145
Phone: (833) 455-8622

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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