MEDICARE: MS. SHERYL DENISE HICKS II

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1649334194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHERYL DENISE HICKS II

Provider Business Mailing Address
First Line	:	18726 S WESTERN AVE STE 408
Second Line	:
City	:	GARDENA
State	:	CA
Zip	:	90248-3858
Country	:	US
Telephone Number	:	310-856-0800
Fax Number	:	855-568-2494

Provider Business Practice Location Address
First Line	:	2670 N MAIN ST
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92705-6639
Country	:	US
Telephone Number	:	949-357-2556
Fax Number	:	855-568-2494

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2006
Last Update Date	:	11/30/2021

Similar Medicare Providers

1750968012 — RICHARD CHANNA
Practice Location Address:

2670 N MAIN ST
SANTA ANA, CA
92705-6639

Practice Phone: 949-357-2556
Practice Fax:

1871870634 — MRS. ANN NGUYEN TRAN PHARM D
Practice Location Address:

2670 N MAIN ST STE 100
SANTA ANA, CA
92705-6639

Practice Phone: 949-748-7521
Practice Fax:

1740686005 — SEGUNDO ANGELINO GALLO PHARM.D.
Practice Location Address:

2670 N MAIN ST , SUITE 150
SANTA ANA, CA
92705-6639

Practice Phone: 949-222-0325
Practice Fax:

1326401928 — MRS. ALISA SUZANNE DIETZ M.A., B.C.B.A.
Practice Location Address:

2670 N MAIN ST , SUITE 305
SANTA ANA, CA
92705-6639

Practice Phone: 310-856-0800
Practice Fax:

1073087607 — MISS CRISTINA ELIZABETH GALLARDO BCBA
Practice Location Address:

2670 N MAIN ST
SANTA ANA, CA
92705-6639

Practice Phone: 714-656-0354
Practice Fax:

1861007866 — PAULINA ONTIVEROS
Practice Location Address:

2670 N MAIN ST
SANTA ANA, CA
92705-6639

Practice Phone: 949-357-2559
Practice Fax: 855-568-2494

Directions to “ MS. SHERYL DENISE HICKS II ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.