NPI 1164932596
Ivorie Hicks
Practice location
- Address
- 4301 Forbes Blvd STE B, Lanham, MD 20706-4446
- Phone
- (240) 487-6946
Registered specialties (2)
Behavior Analyst
Primary
Behavior Technician
Registry record
- NPI
- 1164932596
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 12 Oct 2017
- Record last updated
- 21 Apr 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.