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1902584204
CLANCY HICKSON
IRVINE, CA
NPI
1902584204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA RBT-23-260029)
Enumeration Date
2023-07-06
Last Update Date
2023-07-06
Business Address
CLANCY HICKSON
17752 SKY PARK CIR STE 140
IRVINE, CA 92614-4469
Phone number: 949-474-5577
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Mailing Address
CLANCY HICKSON
4 SPICEWOOD
ALISO VIEJO, CA 92656-1419
Phone number: 949-533-2621
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