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Individual
HAILEY ALEXIS BRICE
Active
Individual
HAILEY ALEXIS BRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OR
374J00000X
Doula
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0
—
OR
Enumeration date
08/12/2019
Last updated
08/13/2022
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