Travis Hicks

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

12368983 Issued in FL

Practice address

4163 NW Federal Hwy Ste 22CD
Jensen Beach, FL 34957-3623

Phone

(877) 591-1888

NPI assigned

Jun 13, 2019

Last updated

Jun 26, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• ABA Cares of Florida LLC

  dba ABA Centers of Florida

  • Behavior Analyst
  • Lauderdale Lakes, FL
  • NPI 1245993138
  NPD (past)

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1295394104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 N STATE ROAD 7",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195884",
            "fax_number": "772-221-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4163 NW FEDERAL HWY STE 22CD",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349573623",
            "telephone_number": "877-591-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "TRAVIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-13",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "12368983",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-18-50390",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023034000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynsey Heinold-Edge, M.A., CCC-SLP
• Hello Sunshine Mental Health & Wellness Inc
• Laura Henning
• Hibiscus Children's Center
• Hibiscus Children's Center, Inc.
• Catherine Hill, BCBA
• Weston Hines
• Jessica Hoffman
• Holiday CVS LLC (CVS Pharmacy 03289)
• Holiday CVS LLC (CVS Pharmacy 05119)

• Behavior Analyst in Jensen Beach, FL
• Providers in Jensen Beach, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; 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.