Krushaud Hicks, is a
Behavior Technician based in Riverside, California. Krushaud Hicks is licensed to practice in * (Not Available) (license number ) and his current practice location is
2155 Chicago Ave Ste 203, Riverside, California. He can be reached at his office (for appointments etc.) via phone at
(951) 357-6926.
NPI number for Krushaud Hicks is 1548703614 and his current mailing address is 2155 Chicago Ave Ste 203, Riverside, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548703614.
Healthcare Provider's Profile
| Full Name | Krushaud Hicks |
|---|
| Gender | Male |
|---|
| Speciality | Behavior Technician |
|---|
| Location | 2155 Chicago Ave Ste 203, Riverside, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1548703614
- Provider Enumeration Date: 11/22/2016
- Last Update Date: 12/30/2022
Medical Identifiers
Medical identifiers for Krushaud Hicks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548703614 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Krushaud Hicks is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Krushaud Hicks,
2155 Chicago Ave Ste 203,
Riverside, CA 92507-2209
Ph: (951) 357-6926 | Krushaud Hicks,
2155 Chicago Ave Ste 203,
Riverside, CA 92507-2209
Ph: (951) 357-6926 |
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