Individual provider · Type 1 NPI

Brandi Janelle Hickman

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Kansas City, MO

NPI number 1609475516 Active

Practice location

8706 Newton Ave Apt 4101
Kansas City, MO 64138-5461

Call (816) 665-5378 Map

Other practice locations

  • 8706 Newton Ave Apt 4101, Kansas City, MO 64138-5461 · (816) 665-5378

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1609475516

Brandi Janelle Hickman's National Provider Identifier is 1609475516, issued on Oct 21, 2020. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Kansas City, MO. The record was last updated on Dec 7, 2021.