Caralee Tri-Ann Hickey, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-49090 Issued in CA

Practice address

417 Mace Blvd.
Ste J #114
Davis, CA 95618-6077

Phone

(530) 574-0556

NPI assigned

Feb 23, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Behavior Resources, Inc.

  • Behavior Analyst
  • Davis, CA
  • NPI 1063921005
  NPD
• Advance Education, Inc.

  • Behavior Analyst
  • Sacramento, CA
  • NPI 1578856977
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1093216111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 MACE BLVD.",
            "address_2": "STE J #114",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956186077",
            "telephone_number": "530-574-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 MACE BLVD.",
            "address_2": "STE J #114",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956186077",
            "telephone_number": "530-574-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKEY",
        "first_name": "CARALEE",
        "middle_name": "TRI-ANN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-21-49090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Efrain Hernandez, RD
• Katherine Hernandez
• Salvador Hernandez, EMT
• Neil A Hershberger, PT
• Douglas Hess, ATC
• Pamela Kay Higgins, CNM
• Erika Juliet Hildebrandt, LCSW
• Daniel Hill
• Jeannine Stitt Hill, LMFT
• Amy Hillman-Siracusa

• Behavior Analyst in Davis, CA
• Providers in Davis, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.