Mr Joseph Robert Hickman, is a
Behavior Technician based in Santa Rosa, California. Mr Joseph Robert Hickman is licensed to practice in * (Not Available) (license number ) and his current practice location is
1160 N Dutton Ave Ste 140, Santa Rosa, California. He can be reached at his office (for appointments etc.) via phone at
(855) 223-7123.
NPI number for Mr Joseph Robert Hickman is 1912586900 and his current mailing address is Po Box 33568, San Diego, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1912586900.
Healthcare Provider's Profile
| Full Name | Mr Joseph Robert Hickman |
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| Gender | Male |
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| Speciality | Behavior Technician |
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| Location | 1160 N Dutton Ave Ste 140, Santa Rosa, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1912586900
- Provider Enumeration Date: 04/06/2021
- Last Update Date: 08/16/2023
Medical Identifiers
Medical identifiers for Mr Joseph Robert Hickman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912586900 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (California) | 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. Mr Joseph Robert Hickman 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 |
|---|
Mr Joseph Robert Hickman,
Po Box 33568,
San Diego, CA 92163-3568
Ph: (855) 223-7123 | Mr Joseph Robert Hickman,
1160 N Dutton Ave Ste 140,
Santa Rosa, CA 95401-4652
Ph: (855) 223-7123 |
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