Michaele Hicks

NPI #1568974145 in Dorchester, Massachusetts

Provider Information

NPI Number: 1568974145
Entity Type: Individual
Name: Michaele Hicks
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 3, 2017
Last Updated: Nov 3, 2017

Practice Location

Address: 17 PARK VIEW ST
City: Dorchester
State: Massachusetts
ZIP Code: 02121-1608
Phone: (617) 682-5692

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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