Individual
HALEY FENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 SW FRAZIER AVE, TOPEKA, KS 66606-1963
(785) 232-5005
(888) 972-5038
Mailing address
325 SW FRAZIER AVE, TOPEKA, KS 66606-1963
(785) 232-5005
(888) 972-5038
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
K02-86-2048
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W223019608-03
AETNA
KS
Enumeration date
07/22/2016
Last updated
03/06/2020
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