Victoria Victorovna Hicks

NPI #1740848233 in Alta Loma, California

Provider Information

NPI Number: 1740848233
Entity Type: Individual
Name: Victoria Victorovna Hicks
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: May 30, 2019
Last Updated: May 30, 2019

Practice Location

Address: 9850 19TH ST APT 95
City: Alta Loma
State: California
ZIP Code: 91737-4220
Phone: (909) 919-4598

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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