Individual
CARLENE HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
406 JACKSON CIR, LAKE PARK, GA 31636-4928
(229) 630-2086
(888) 843-2534
Mailing address
5 JACOBS WALK, LAKELAND, GA 31635-5740
(803) 720-1982
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-344516
—
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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