Individual
CONSUELA HAYWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6514 BOYKIN SPANIEL RD, CHARLOTTE, NC 28277-8749
(302) 373-8333
Mailing address
4575 SE DIXIE HWY, STUART, FL 34997-6826
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/21/2021
Last updated
10/03/2024
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