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General NPI Number Information
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NPI Number | 1124304324
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Entity Type | Individual
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Provider Name | ASHLEY MARIE HICKS PH.D.
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Gender | Female
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Dates
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Enumeration Date | 11/01/2011
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 353 MARKLE DR STE 4
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City | HARRISBURG
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State | PA
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Zip | 17111-2762
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Country | US
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Telephone | 856-346-0005
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Fax | 717-693-0989
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Provider Business Mailing Address
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Address Line | 4801 COUNT ST
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City | HARRISBURG
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State | PA
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Zip | 17109-3225
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Country | US
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Telephone | 717-497-7144
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | BH001136
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License Number State | PA
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