ILLYCIA HICKS (NPI# 1285274902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285274902 |
| Entity Type | Individual |
| Full Name | ILLYCIA HICKS |
| Practice Address |
602 Victoria Pl Ste A Thomasville GA 31792-6687 |
| Mailing Address |
3121 N Oak Street Ext Valdosta GA 31602-1099 |
| Practice Telephone | 8008329419 |
| Practice Fax Number | 8558591671 |
| Mailing Telephone | 8008329419 |
| Mailing Fax Number | 8558591671 |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2020-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 19-108969 | GA | Behavioral Health & Social Service Providers |
| Street Address |
602 VICTORIA PL STE A |
| City | THOMASVILLE |
| State | GA |
| Zip Code | 31792-6687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396351581 | Jasmine Sims | Behavioral Analyst | 602 Victoria Pl Ste A, Thomasville, GA 31792-6687 | 2020-09-22 |
| 1942814454 | Sheila Peach | Behavioral Analyst | 602 Victoria Pl Ste A, Thomasville, GA 31792-6687 | 2020-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245739879 | Georgia Pines Community Service Board | Community/Behavioral Health | 407 Cloverdale Drive, Thomasville, GA 31792 | 2018-02-09 |
| 1932613551 | Diana Diaz | Physician Assistant | 2705 E Pinetree Blvd Ste A, Thomasville, GA 31792 | 2017-11-17 |
| 1194249425 | Bobbie Frazier | Contractor | 400 Cloverdale Dr, Thomasville, GA 31792 | 2017-07-28 |
| 1598132292 | Southern Scripts, LLC | Pharmacy | 501 Gordon Avenue, Thomasville, GA 31792 | 2015-08-28 |
| 1508248915 | Elizabeth Nicole Keen | Behavioral Analyst | 121 Covington Ave Apt 9, Thomasville, GA 31792 | 2015-06-22 |
| 1417341579 | Sheila L Stanley | Counselor | 301 Summercreek Cove, Thomasville, GA 31792 | 2015-03-26 |
| 1457749301 | Ashley Lamb | Speech-Language Pathologist | 1203 East Jackson Street, Thomasville, GA 31792 | 2014-12-30 |
| 1831403880 | Somnoquest | Durable Medical Equipment & Medical Supplies | 556 Hall Road, Thomasville, GA 31792 | 2010-08-02 |
| 1508000183 | Kashyap B Choksi | Internal Medicine | 100 Mimosa Drive 2nd Floor, Thomasville, GA 31792 | 2009-04-27 |
| 1205008786 | Mark J Glaccum | Chiropractor | 415 Gordon Avenue, Thomasville, GA 31792 | 2008-03-25 |
| Find all providers in zip 31792 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902366297 | Comprehensive Autism and Psychological Services, LLC | Behavioral Analyst | 554 Hall Rd, Thomasville, GA 31757-8105 | 2019-03-22 |
| 1508248915 | Elizabeth Nicole Keen | Behavioral Analyst | 121 Covington Ave Apt 9, Thomasville, GA 31792 | 2015-06-22 |
| 1922373604 | Taylor Ferguson | Behavioral Analyst | 316 Tuxedo Dr, Thomasville, GA 31792-6763 | 2012-03-14 |
| 1396351581 | Jasmine Sims | Behavioral Analyst | 602 Victoria Pl Ste A, Thomasville, GA 31792-6687 | 2020-09-22 |
| 1942814454 | Sheila Peach | Behavioral Analyst | 602 Victoria Pl Ste A, Thomasville, GA 31792-6687 | 2020-09-02 |
| 1760092852 | Promoting Independence Behavioral Therapy LLC | Behavioral Analyst | 316 Tuxedo Dr, Thomasville, GA 31792-6763 | 2020-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346664 | Dominique Infiniti Jones | Behavioral Analyst | 512 Windmont Dr Ne, Brookhaven, GA 30329-1041 | 2020-11-04 |
| 1720689318 | Javaris Paggett | Behavioral Analyst | 190 Handley Rd Ste B, Tyrone, GA 30290-2178 | 2020-11-02 |
| 1497355812 | Unique Solutions Behavior Services | Behavioral Analyst | 4258 Holliday Rd, Atlanta, GA 30349-8849 | 2020-10-26 |
| 1922607985 | Steps, LLC | Behavioral Analyst | 1321 Bramble Rd Ne, Atlanta, GA 30329-3503 | 2020-10-21 |
| 1699381475 | James E Faison | Behavioral Analyst | 2270 Dunwoody Xing, Apt B, Atlanta, GA 30338-7319 | 2020-09-17 |
| 1679188015 | Soracha Orourke | Behavioral Analyst | 880 Glenwood Ave Se, Atlanta, GA 30316-1825 | 2020-09-12 |
| 1336753862 | Megan Boucher | Behavioral Analyst | 5825 Glenridge Dr Ste 208, Atlanta, GA 30328-5387 | 2020-09-02 |
| 1346853975 | Jessica Bernstein | Behavioral Analyst | 500 Vinington Court, Atlanta, GA 30350 | 2020-08-24 |
| 1669084398 | Mallory Moore | Behavioral Analyst | 102 Mary Alice Park Rd Ste 304, Cumming, GA 30040-2683 | 2020-08-24 |
| 1619587631 | Ashaki Felix | Behavioral Analyst | 120 Millbrook Village Dr, Tyrone, GA 30290-3605 | 2020-08-04 |
| Find all providers with the same taxonomy | ||||
| City | THOMASVILLE |
| Zip Code | 31792 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.