Provider Demographics
NPI:1114213642
Name:BICARD, DAVID F (BCBA-D, LBA)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:F
Last Name:BICARD
Suffix:
Gender:M
Credentials:BCBA-D, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 MELISON DR
Mailing Address - Street 2:
Mailing Address - City:PIKE ROAD
Mailing Address - State:AL
Mailing Address - Zip Code:36064-2555
Mailing Address - Country:US
Mailing Address - Phone:334-595-3673
Mailing Address - Fax:
Practice Address - Street 1:120 MELISON DR
Practice Address - Street 2:
Practice Address - City:PIKE ROAD
Practice Address - State:AL
Practice Address - Zip Code:36064-2555
Practice Address - Country:US
Practice Address - Phone:334-595-3673
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-23
Last Update Date:2018-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY003103K00000X
1-01-0382103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst