Individual
HAILEY BROOKE WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
206 S JEFFERSON AVE, COOKEVILLE, TN 38501-4748
(931) 283-2919
Mailing address
1500 S DOUGLAS RD STE 230, CORAL GABLES, FL 33134-4108
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1666
TN
106S00000X
Behavior Technician
RBT-20-134749
TN
Other
Enumeration date
12/31/2021
Last updated
10/23/2024
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