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

Khadaija Roberta Hicks

Individual provider Behavior Technician · NPI 1114722808

Khadaija Roberta Hicks is a Behavior Technician in Grand Rapids, Michigan. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1000 E Paris Ave SE
Grand Rapids, MI 49546-3691
Phone: (844) 244-1818
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 number1114722808
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 17, 2025
Last updated in NPPESFebruary 17, 2025
Certification dateFebruary 17, 2025

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