Hicks, Ivorie
Hicks, Ivorie is an sole proprietor health care provider with primary practice located at 4301 Forbes Blvd Ste B , Lanham MD 20706-4446. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Hicks, Ivorie can be contacted via phone (240) 487-6946.Contact Information
Primary practice address
4301 Forbes Blvd Ste B
Lanham MD 20706-4446
Phone: (240) 487-6946
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1164932596 |
|---|---|
| LBN Legal business name | Hicks, Ivorie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2017 |
| Last updated | Apr 21st, 2021 - about 5 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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