NPI 1245825009

Samara J Hicks

Practitioner Behavior Technician Centreville, VA

Practice location

Address: 6419 Paddington CT, Centreville, VA 20121-5925
Phone: (571) 484-0711

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1245825009
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Mar 2021
Record last updated: 3 Mar 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.