Hickox, Brooke

Hickox, Brooke is an individual health care provider with primary practice located at 1140 Kyle Wood Ln , Brandon FL 33511-4850. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Hickox, Brooke can be contacted via phone (813) 548-1009.

Contact Information

Primary practice address
1140 Kyle Wood Ln Brandon FL 33511-4850
Phone: (813) 548-1009
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1265994602
LBN Legal business name Hickox, Brooke
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2019
Last updated Nov 25th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265994602 NPPES
Florida Other H220074966840 DRIVER'S LICENSE

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