Individual
BARBARA HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
538 BROADHOLLOW ROAD, ACHIEVE BEYOND, FARMINGDALE, NY 11375
(718) 762-7633
Mailing address
775 OUTLOOK AVE, WEST BABYLON, NY 11704-4418
(631) 639-6050
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
10
NY
106S00000X
Behavior Technician
593566356
NY
Other
Enumeration date
02/10/2017
Last updated
02/10/2017
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