Individual
BRIAN JOSEPH HAYSLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1750 COMMERCE CENTER BLVD, FAIRBORN, OH 45324-6333
(937) 878-8444
Mailing address
713 BURKHARDT AVE, DAYTON, OH 45403-2802
(937) 241-8841
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OH
Other
Enumeration date
11/25/2024
Last updated
12/10/2024
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