| NPI | 1508379777 |
|---|---|
| Other Name | MAGGIE J TICE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-19-38419) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2020-07-22 |