Individual
LATICE HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1729 E CHRISTOPHER ST, SAN TAN VALLEY, AZ 85140-5753
(602) 342-7453
Mailing address
1729 E CHRISTOPHER ST, SAN TAN VALLEY, AZ 85140-5753
(602) 342-7453
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AZ
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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