Tanya Marie Hicks

NPI #1720883192 in Austin, Minnesota

Provider Information

NPI Number: 1720883192
Entity Type: Individual
Name: Tanya Marie Hicks
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 18, 2025
Last Updated: Feb 18, 2025

Practice Location

Address: 111 11TH AVE NE
City: Austin
State: Minnesota
ZIP Code: 55912-3316
Phone: (952) 767-4200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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