Samara J Hicks

NPI #1245825009 in Centreville, Virginia

Provider Information

NPI Number: 1245825009
Entity Type: Individual
Name: Samara J Hicks
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 3, 2021
Last Updated: Mar 3, 2021

Practice Location

Address: 6419 PADDINGTON CT
City: Centreville
State: Virginia
ZIP Code: 20121-5925
Phone: (571) 484-0711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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