Individual
HAYDEE LLANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2134 CRISTON DR APT 2A, NEWPORT NEWS, VA 23602-5105
(571) 619-2333
Mailing address
2134 CRISTON DR APT 2A, NEWPORT NEWS, VA 23602-5105
(571) 619-2333
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-58372
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018613900
—
FL
Enumeration date
06/02/2016
Last updated
07/20/2021
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