Individual
PATRICIA HAYNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10298 S OTTER TRAIL DR, SOUTH JORDAN, UT 84009-6109
(951) 541-3043
Mailing address
10298 S OTTER TRAIL DR, SOUTH JORDAN, UT 84009-6109
(951) 541-3043
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
150133314
CA
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/12/2017
Last updated
03/06/2023
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