Individual
HAYLEY CAUDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 UNITED FOUNDERS BLVD STE 104, OKLAHOMA CITY, OK 73112-3927
(405) 254-3994
Mailing address
1724 MATTERN DR, OKLAHOMA CITY, OK 73118-2206
(405) 921-3414
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-19-96839
OK
171M00000X
Case Manager/Care Coordinator
—
OK
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
12/03/2019
Last updated
09/06/2023
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