Individual
HAILEY NICOLE DELOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
250 PARK AVE UNIT 606, MINNEAPOLIS, MN 55415-1170
(952) 239-3764
Mailing address
250 PARK AVE UNIT 606, MINNEAPOLIS, MN 55415-1170
(952) 239-3764
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-14949
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-13-14949
BOARD CERTIFICATION
MN
Enumeration date
07/28/2014
Last updated
07/28/2014
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