IndividualActive
Jessica Hicks, BCBA
NPI 1215075916 · Behavior Analyst · Gray, TN
Provider details
- NPI number
- 1215075916
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- BCBA
- Sex
- Female
- Sole proprietor
- No
- License
- 0133001839 (VA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
182 Maden Dr
Gray, TN 37615-2212
Phone: (423) 483-7005
Fax: (423) 220-8231
Approximate (ZIP-level) locationGet directions
Mailing address
182 Maden Dr
Gray, TN 37615-2212
Registry dates
- Enumerated
- 2007-02-02
- Last updated
- 2024-10-11
- Certified
- 2024-10-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.