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Contact Information

TRENA HICKINBOTHAM
6836 ISAAC'S ORCHARD RD
SPRINGDALE, AR72762
 Phone: 479-927-4100
 Fax: 479-927-4101
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
Indicates primary specialty

NPI Profile & details for TRENA HICKINBOTHAM · (Female)

NPI # 1346812690
Status Active
Credentials
Entity Individual
Enumeration date 07/15/2021
Last updated 07/15/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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