Hicks, Travis

Hicks, Travis is an sole proprietor health care provider with primary practice located at 4163 Nw Federal Hwy Ste 22Cd , Jensen Beach FL 34957-3623. He 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 his primary health care specialty. Hicks, Travis can be contacted via phone (877) 591-1888.

Contact Information

Primary practice address
4163 Nw Federal Hwy Ste 22Cd Jensen Beach FL 34957-3623
Phone: (877) 591-1888
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-18-50390 Florida
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 12368983 Florida

Profile Details

NPI number 1295394104
LBN Legal business name Hicks, Travis
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2019
Last updated Jun 26th, 2025 - about last year

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 1295394104 NPPES
Florida MEDICAID 023034000

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