Individual
HAYLEY NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3482 MCCLURE AVE, LAFAYETTE, IN 47906-4164
(765) 838-3547
Mailing address
1320 STATE ROAD 25 W, LAFAYETTE, IN 47909-9089
(765) 661-6203
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-62355
IN
Other
Enumeration date
11/07/2022
Last updated
11/08/2022
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