| NPI | 1306533989 |
|---|---|
| Former Name | CAITLYN PEARL WHITE HICKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 1-25-86371) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MO RBT-23-269668) |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2026-01-07 |