Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jdesray Hicks

Individual provider Behavior Technician · NPI 1699551721

Jdesray Hicks is a Behavior Technician in Warren, Michigan. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

12200 E 13 Mile Rd Ste 100
Warren, MI 48093-3080
Phone: (587) 573-1810
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1699551721
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 5, 2023
Last updated in NPPESSeptember 5, 2023
Certification dateSeptember 5, 2023
Mailing address12200 E 13 Mile Rd Ste 100, Warren, MI 48093-3080

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