Sherry Ann Hickmon, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-47772 Issued in GA

Practice address

107 Southern Blvd
Savannah, GA 31405-7437

Phone

(800) 844-1232

NPI assigned

Dec 4, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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 and National Provider Directory roles.

• Chicago Autism and Behavior Specialists

  • Behavior Analyst
  • Itasca, IL
  • NPI 1295021269
  NPD (past)

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1639716061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 SOUTHERN BLVD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314057437",
            "telephone_number": "800-844-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 SOUTHERN BLVD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314057437",
            "telephone_number": "800-844-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKMON",
        "first_name": "SHERRY",
        "middle_name": "ANN",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-04",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": "GA",
            "license": "0167254",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-21-47772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Mikol Heuser, MD
• Kara Francesca Hevener
• Camryn Heyward, RBT
• Deborah Heyward
• Enith Elise Hickman, PH.D.
• Ebony Hicks
• Emilie Hicks
• Nicole Hicks, M.S., CCC-SLP
• Patricia Ann Hicks, OWNER
• Robyn M Hicks, CFA

• Behavior Analyst in Savannah, GA
• Providers in Savannah, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.