Individual
ALAYNA M HAZELWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5215 COMMERCE CROSSINGS DR, LOUISVILLE, KY 40229-2183
(502) 251-7002
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-18-73059
RBT CERTIFICATE
—
Enumeration date
06/28/2019
Last updated
06/28/2019
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