Individual
VICTORIA HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1413 TECH BLVD STE 122, TAMPA, FL 33619-7822
(855) 832-6727
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-22-13962
FL
106S00000X
Behavior Technician
RBT-20-134270
FL
Other
Enumeration date
10/01/2020
Last updated
12/13/2022
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