Hagen Hicks

NPI #1063298818 in Ardmore, Oklahoma

Provider Information

NPI Number: 1063298818
Entity Type: Individual
Name: Hagen Hicks
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 7, 2023
Last Updated: Sep 7, 2023

Practice Location

Address: 1301 KIOWA ST
City: Ardmore
State: Oklahoma
ZIP Code: 73401-2280
Phone: (580) 670-3117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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