Provider Demographics
NPI:1578154373
Name:HICKEY, LINDA HONG (BCBA, LBA)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:HONG
Last Name:HICKEY
Suffix:
Gender:
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10511 TILBROOK DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77038-1838
Mailing Address - Country:US
Mailing Address - Phone:281-827-4283
Mailing Address - Fax:
Practice Address - Street 1:14426 MEDICAL COMPLEX DR STE 106
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77377-3101
Practice Address - Country:US
Practice Address - Phone:812-058-4212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-03
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3860103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst