Individual
HAILEY EASTEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 NW EASTMAN PKWY STE 38, GRESHAM, OR 97030-5533
(248) 436-4400
Mailing address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5312
(248) 436-4400
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-82349
OR
106E00000X
Assistant Behavior Analyst
0-24-15408
OR
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/16/2022
Last updated
07/09/2025
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