Individual
JOANN HATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BEHAVIOR HEALTH
Contact information
Practice address
504 PUERTO VISTA DR, COOS BAY, OR 97420-2804
(803) 601-5702
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OR
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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